NPIMap

Organization Active NPI

Mon Yough Community Services, Inc

  • Group Psychotherapy Psychologist
  • McKeesport, PA
National Provider Identifier
1669676870
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
MON YOUGH COMMUNITY SERVICES, INC
Practice address
335 Shaw Ave
McKeesport, PA 15132-2918
Phone
(412) 675-8533
Fax
(412) 675-8920
NPI assigned
Jun 12, 2007
Last updated
Mar 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Group Psychotherapy Psychologist 103TP2701X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

335 Shaw Ave
McKeesport, PA 15132-2918

Mailing address

335 Shaw Ave
McKeesport, PA 15132-2918
Phone (412) 675-8533

Other identifiers 2

IdentifierTypeStateIssuer
100000980MedicaidPA
648059OtherPAHIGHMARK BLUE SHIELD

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
This NPI is an additional NPI on the 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.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1669676870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SHAW AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322918",
            "telephone_number": "412-675-8533",
            "fax_number": "412-675-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SHAW AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322918",
            "telephone_number": "412-675-8533",
            "fax_number": "412-675-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON YOUGH COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "412-675-8533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000980",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "648059",
            "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 Mar 30, 2011; 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.