Active NPI
Shiny Homes LLC
- Intellectual & Developmental Disabilities Psychologist
- Pittsburgh, PA
National Provider Identifier
1700691052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 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 DirectoryNPI 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.