Mental Health Association

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

424660 Issued in PA

Legal business name

MENTAL HEALTH ASSOCIATION

Practice address

225 Spring St
Bentleyville, PA 15314-1252

Phone

(724) 239-3993

Fax

(724) 239-3997

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Alice M Simms

Title

Fiscal Technician

Phone

(724) 225-2061

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1679730592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S COLLEGE ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014821",
            "telephone_number": "724-225-2061",
            "fax_number": "724-225-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SPRING ST",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141252",
            "telephone_number": "724-239-3993",
            "fax_number": "724-239-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FISCAL TECHNICIAN",
        "authorized_official_telephone_number": "724-225-2061"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PA",
            "license": "424660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER NUMBER",
            "identifier": "582217",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE ID",
            "identifier": "101722148 0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle C Kubistek, PT
• Andrew Frank Kuzy, RPH
• Kuzy'S Drug Store
• Sang Chul Lee, DDS
• Richard Paul McClain, DMD
• Brittney Messer
• Audrey Miller, P.T.A.
• Josefina David Paderes, M.D.
• Jean Marie Pohlot, PA-C
• Fred M Powell, CRNP

• Mental Illness Community Based Residential Treatment Facility in Bentleyville, PA
• Providers in Bentleyville, PA by specialty
• Mental Illness Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.