Mayank Gupta, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD447555 Issued in PA

Practice address

2 Hospital Dr
Clarion, PA 16214-8502

Phone

(800) 253-4906

NPI assigned

Feb 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epionique LLC

  • Child & Adolescent Psychiatry Physician
  • Summersville, WV
  • NPI 1972390466
  NPD Authorized official
• Southwood Psychiatric Hospital, LLC

  dba Southwood Children's Behavioral Healthcare

  • Psychiatric Hospital
  • Pittsburgh, PA
  • NPI 1376537480
  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1669612032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 BOYCE PLAZA RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148502",
            "telephone_number": "800-253-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MAYANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD447555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102850661",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marica Gillispie, LCSW
• Sarah Girardi
• Elizabeth Ann Griffin, BS
• Joanne D Grine, PHD, MED,BS
• Guardian Elder Care at Clarion LLC (Clarion Healthcare and Rehabilitation Center)
• Gwen Vinroe Coltz, O.D., LLC
• Bethann Hamm, D.O.
• Paul D Hamm, D.O.
• Charity Hansford
• Jeffrey Robert Harman, LAT., ATC.

• Psychiatry Physician in Clarion, PA
• Providers in Clarion, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.