Active NPI
Turtle Creek Valley MH/Mr, Inc.
- Community/Behavioral Health Agency
- Turtle Creek, PA
National Provider Identifier
1649448366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 422510
- Legal business name
- TURTLE CREEK VALLEY MH/MR, INC.
- Practice address
- 519 Penn Ave
Human Services Center
Turtle Creek, PA 15145-2082 - Phone
- (412) 824-8510
- Fax
- (412) 824-0948
- NPI assigned
- Feb 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judy Monahan Grystar, LSW
- Title
- Executive Director
- Phone
- (412) 351-0222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 422510 | PA | Primary |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 422510 | PA |
Addresses
Primary practice location
519 Penn Ave
Human Services Center
Turtle Creek, PA 15145-2082
Mailing address
723 Braddock Ave
Braddock, PA 15104-1849
Phone (412) 351-0222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007281380021 | Medicaid | PA | |
| 1007281380064 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Turtle Creek Valley MH Mr Inc
Other organizations with this tax ID 10
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1649448366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 BRADDOCK AVE",
"city": "BRADDOCK",
"state": "PA",
"postal_code": "151041849",
"telephone_number": "412-351-0222",
"fax_number": "412-351-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 PENN AVE",
"address_2": "HUMAN SERVICES CENTER",
"city": "TURTLE CREEK",
"state": "PA",
"postal_code": "151452082",
"telephone_number": "412-824-8510",
"fax_number": "412-824-0948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TURTLE CREEK VALLEY MH/MR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "MONAHAN GRYSTAR",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "412-351-0222",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "422510",
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "PA",
"license": "422510",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007281380021",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007281380064",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Turtle Creek, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.