Jack Mannheimer MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JACK MANNHEIMER MD PC

Practice address

500 N Lewis Run Rd Ste 129
West Mifflin, PA 15122-3058

Phone

(412) 469-8220

Fax

(412) 469-9365

NPI assigned

Sep 21, 2006

Last updated

Mar 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather McLaughlin

Title

Office Manager

Phone

(412) 469-8220

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 4

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.

• Robert Edward Daufenbach, PHD

  • Mental Health Counselor
  • West Mifflin, PA
  • NPI 1407955271
  NPD (past)
• Jamie Del, LPC, NCC

  • Professional Counselor
  • Bridgeville, PA
  • NPI 1457662298
  NPD (past)
• Diana Lynne Shaban, M.ED.

  • Psychologist
  • Pittsburgh, PA
  • NPI 1407948185

  Mental Health

  NPD (past)
• Jo Ellen Smith, LPC

  • Mental Health Counselor
  • West Mifflin, PA
  • NPI 1891894697
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1730288465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N LEWIS RUN ROAD 129",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "15122",
            "telephone_number": "412-469-8220",
            "fax_number": "412-469-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N LEWIS RUN RD STE 129",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151223058",
            "telephone_number": "412-469-8220",
            "fax_number": "412-469-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK MANNHEIMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "412-469-8220"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0553217",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Alissa Hornyak, CRNA
• Casey Anne Inman
• John Isaacs, RPH
• Gene Jablonski
• Jack Mannheimer M.D. PC
• James W. Mahramas, O.D.
• Nadja Simone Jefferies
• Brian H Jewart, M.D.
• Johnsons Pharmacuetical Services Inc
• Lynette Renee Judy, FNP

• Psychiatry Physician in West Mifflin, PA
• Providers in West Mifflin, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.