NPIMap

Organization Active NPI

Upmc Washington

  • Psychiatric Hospital Unit
  • Washington, PA
National Provider Identifier
1629185053
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
230201 Issued in PA
Legal business name
UPMC WASHINGTON
Practice address
155 Wilson Ave
Washington, PA 15301-3336
Phone
(724) 225-7000
Fax
(724) 229-2098
NPI assigned
Aug 23, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jared Weiner
Title
Cfo
Phone
(412) 864-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 230201 PA Primary

Addresses

Primary practice location

155 Wilson Ave
Washington, PA 15301-3336

Mailing address

155 Wilson Ave
Washington, PA 15301-3336
Phone (724) 225-7000

Other identifiers 2

IdentifierTypeStateIssuer
0099OtherPAHIGHMARK BC/BS
100738911-0072MedicaidPA

Other names 1

  • Washington Hospital-Psychiatric Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120503000167 PA Part A Provider - Hospital 0446159313 Practice locations: Washington, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629185053. Details of each certification follow.

Hospital certification: CCN 39S042

Legal name
UPMC WASHINGTON
Organization structure
CorporationNon-profit
Enrollment address
155 Wilson Ave
Washington, PA 15301-3336
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Emergency Med of Washin12 organizations share this tax ID, including this one
Part of
Emergency Med of Washin

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey Conn Individual Corporate Director Jun 1, 2024
Jared Weiner Individual Corporate OfficerChief Financial Officer Dec 10, 2024
Daniel Miller Individual Corporate Director Jun 1, 2024
Ben Minor Individual Corporate Director Jun 1, 2024
Donald M Yealy Individual Corporate Director Jun 1, 2024
Brook Ward Individual Corporate OfficerCeo Jun 30, 2019 100%
Arthur Gabriel Individual Corporate Director Jun 1, 2024
Sheila Stewart Individual Corporate Director Jun 1, 2024
Elizabeth Wild Individual Corporate Director Jun 1, 2024
Amy Smiley Individual Corporate Director Jun 1, 2024
Traci McDonald-Kemp Individual Corporate Director Jun 1, 2024
Mark E Backeris Individual Corporate Director Jun 1, 2024
Kim Orth Individual Corporate Director Jun 1, 2024
Joel Philip Yuhas Individual Corporate Director Jun 1, 2024
Johanna Braden Individual W-2 Managing Employee Jun 1, 2024
Upmc Organization, Pittsburgh, PA Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2024
Emanuel Alex Paris Individual Corporate Director Jun 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Upmc GreeneWaynesburg, PA, CCN 39U150 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Upmc GreeneWaynesburg, PA, CCN 390150 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2024
Concordia Visiting NursesCabot, PA, CCN 397717 Home health agency 5% Or Greater Direct Ownership Interest (12%) Sep 1, 2015
Concordia Community Support ServicesWashington, PA, CCN 391519A Hospice 5% Or Greater Direct Ownership Interest (30%) May 24, 2016

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 63

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 63

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1629185053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-225-7000",
            "fax_number": "724-229-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-225-7000",
            "fax_number": "724-229-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC WASHINGTON",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-864-7000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "230201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "0099",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100738911-0072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Hospital-Psychiatric Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.