Organization Active NPI

Shiny Homes LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Pittsburgh, PA
National Provider Identifier
1700691052
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
SHINY HOMES LLC
Practice address
1300 Wisconsin Ave
Pittsburgh, PA 15216-2555
Phone
(234) 303-9210
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mr. Elhadj Alpha Mahmoud Souare
Title
Ceo
Phone
(234) 303-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

1300 Wisconsin Ave
Pittsburgh, PA 15216-2555

Mailing address

1300 Wisconsin Ave
Pittsburgh, PA 15216-2555
Phone (234) 303-9210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1700691052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WISCONSIN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162555",
            "telephone_number": "234-303-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WISCONSIN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162555",
            "telephone_number": "234-303-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "SOUARE",
        "authorized_official_first_name": "ELHADJ ALPHA",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "234-303-9210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 12, 2025; 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.