Individual provider Active NPI

Ovetta A Bagsby-Thornton

  • Psychiatric Hospital
  • Pittsburgh, PA
National Provider Identifier
1669103784
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Practice address
100 N Bellefield Ave Ste 6
Pittsburgh, PA 15213-2600
Phone
(412) 246-5619
Fax
(412) 346-5610
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X PA Primary

Addresses

Primary practice location

100 N Bellefield Ave Ste 6
Pittsburgh, PA 15213-2600

Mailing address

521 6TH St
Braddock, PA 15104-1637
Phone (412) 403-7184

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pittsburgh

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1669103784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 6TH ST",
            "city": "BRADDOCK",
            "state": "PA",
            "postal_code": "151041637",
            "telephone_number": "412-403-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BELLEFIELD AVE STE 6",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132600",
            "telephone_number": "412-246-5619",
            "fax_number": "412-346-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGSBY-THORNTON",
        "first_name": "OVETTA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pittsburgh",
            "affiliation": "N",
            "address_1": "100 N Bellefield Ave Ste 6",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152132600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 20, 2022; 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.