Active NPI
Upmc Altoona
Doing business as Altoona Mental Health
- Psychiatric Hospital
- Altoona, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- UPMC ALTOONA
- Doing business as
- Altoona Mental Health
- Practice address
- 620 Howard Ave.
Altoona, PA 16601-4899 - Phone
- (814) 889-2223
- Fax
- (814) 889-7808
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 11, 2013
- Organization subpart
- Yes
- Parent organization
- ALTOONA REGIONAL HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Edmund Murray
- Title
- Ceo
- Phone
- (814) 889-2223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | PA | Primary |
Addresses
Primary practice location
620 Howard Ave.
Altoona, PA 16601-4899
Mailing address
620 Howard Ave.
Altoona, PA 16601-4899
Phone (814) 889-2223
Other names 1
- Altoona Mental Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406001006 | PA | Part B Supplier - Clinic/Group Practice | 8426962465 |
Receives reassigned benefits from 17 practitioners 1 other NPI on this enrollment Practice locations: Altoona, PA |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Williamsburg Family Practice
- General Acute Care Hospital
- Williamsburg, PA
- NPI 1437100765
8426962465
-
dba Altoona Family Physicians
- General Acute Care Hospital
- Altoona, PA
- NPI 1487604179
8426962465
-
dba Altoona Emergency Physicians
- General Acute Care Hospital
- Altoona, PA
- NPI 1497831655
8426962465
-
dba Altoona Cardiology
- General Acute Care Hospital
- Altoona, PA
- NPI 1770668287
8426962465
-
dba Altoona Pulmonary
- General Acute Care Hospital
- Altoona, PA
- NPI 1942385463
8426962465
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Altoona Emer Phys
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Altoona | Hospital | 5% Or Greater Indirect Ownership Interest (15%) | Nov 1, 2009 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Encompass Health Rehabilitation Hospital of Altoona
- Rehabilitation Hospital
- Altoona, PA
- NPI 1184854762
5% Or Greater Indirect Ownership Interest
Practitioners & affiliated clinicians
Practitioners 64
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.
-
- Psychiatry Physician
- Altoona, PA
- NPI 1285842625
-
- Physician Assistant
- Altoona, PA
- NPI 1467426148
-
- Physician Assistant
- Altoona, PA
- NPI 1629262779
-
- Physician Assistant
- Altoona, PA
- NPI 1427127158
-
- Psychiatry Physician
- Johnstown, PA
- NPI 1831410687
-
- Psychiatry Physician
- Sharon, PA
- NPI 1003899543
-
- Psychiatry Physician
- Altoona, PA
- NPI 1265480834
-
- Psychiatry Physician
- Altoona, PA
- NPI 1588003826
-
- Critical Care Medicine Registered Nurse
- Altoona, PA
- NPI 1770933293
-
- Psychiatry Physician
- Altoona, PA
- NPI 1467410092
-
- Physician Assistant
- State College, PA
- NPI 1801442322
-
- Psychiatry Physician
- Bethlehem, PA
- NPI 1801209176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373500800000",
"number": "1760567283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 HOWARD AVE.",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166014899",
"telephone_number": "814-889-2223",
"fax_number": "814-889-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 HOWARD AVE.",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166014899",
"telephone_number": "814-889-2223",
"fax_number": "814-889-7808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC ALTOONA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALTOONA REGIONAL HEALTH SYSTEM",
"enumeration_date": "2006-10-25",
"last_updated": "2013-07-11",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "EDMUND",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "814-889-2223",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Altoona Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.