NPIMap

Organization Active NPI

Mon Yough Community Services Inc

  • Community/Behavioral Health Agency
  • McKeesport, PA
National Provider Identifier
1669478764
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MON YOUGH COMMUNITY SERVICES INC
Practice address
331 Shaw Ave
McKeesport, PA 15132-2918
Phone
(413) 675-8530
Fax
(412) 675-8533
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Catherine Conroy
Title
Managed Care Coordinator
Phone
(412) 675-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

331 Shaw Ave
McKeesport, PA 15132-2918

Mailing address

500 Walnut St
3Rd FL
McKeesport, PA 15132-2801
Phone (412) 675-8530

Other identifiers 2

IdentifierTypeStateIssuer
648059OtherPAHIGHMARK BC/BS
100000980MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412000888 PA Part B Supplier - Clinic/Group Practice 4385638519 Receives reassigned benefits from 21 practitioners
2 other NPIs on this enrollment
Practice locations: McKeesport, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Center for Substance Ab12 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.

Locations

500 Walnut St
Fl 3
McKeesport, PA 15132
Phone (412) 675-6498

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1669478764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WALNUT ST",
            "address_2": "3RD FL",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322801",
            "telephone_number": "412-675-8530",
            "fax_number": "412-675-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SHAW AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322918",
            "telephone_number": "413-675-8530",
            "fax_number": "412-675-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON YOUGH COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "412-675-8533"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "648059",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.