Organization Active NPI

Turtle Creek Valley MH/Mr, Inc.

  • Community/Behavioral Health Agency
  • Turtle Creek, PA
National Provider Identifier
1649448366
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
422510 Issued in PA
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

Updated by the provider on Feb 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1007281380021MedicaidPA
1007281380064MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Turtle Creek Valley MH Mr Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

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.

Verify at the official NPI Registry.