NPIMap

Organization Active NPI

Passavant Memorial Homes

  • Intellectual & Developmental Disabilities Psychologist
  • Pittsburgh, PA
National Provider Identifier
1649464769
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
PASSAVANT MEMORIAL HOMES
Practice address
100 Passavant Way
Pittsburgh, PA 15238-1318
Phone
(412) 820-1010
Fax
(412) 820-1025
NPI assigned
Aug 31, 2007
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Michelle Brown
Title
Utilization Coordinator
Phone
(412) 820-1010

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Community/Behavioral Health Agency 251S00000X 439240 PA
Adult Mental Health Clinic/Center 261QM0850X 465150 PA
Adult Mental Health Clinic/Center 261QM0850X 409250 PA

Addresses

Primary practice location

100 Passavant Way
Pittsburgh, PA 15238-1318

Mailing address

100 Passavant Way
Pittsburgh, PA 15238-1318
Phone (412) 820-1010

Other identifiers 1

IdentifierTypeStateIssuer
100001216OtherPAMASTER PROVIDER INDEX

National Provider Directory

National Provider Directory
Tax ID family
Passavant Memorial Homes12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1649464769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASSAVANT WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381318",
            "telephone_number": "412-820-1010",
            "fax_number": "412-820-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASSAVANT WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381318",
            "telephone_number": "412-820-1010",
            "fax_number": "412-820-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAVANT MEMORIAL HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "UTILIZATION COORDINATOR",
        "authorized_official_telephone_number": "412-820-1010"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "439240",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "465150",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "409250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER PROVIDER INDEX",
            "identifier": "100001216",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.