NPIMap

Organization Active NPI

Child and Adolescent Psychiatric Solutions LLC

  • Psychiatry Physician
  • Wexford, PA
National Provider Identifier
1780055731
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHILD AND ADOLESCENT PSYCHIATRIC SOLUTIONS LLC
Practice address
9855 Rinaman Rd
Wexford, PA 15090-9226
Phone
(724) 799-8558
Fax
(412) 430-3383
NPI assigned
Oct 16, 2015
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dan Udrea, M.D.NPI 1104072800
Title
Child and Adolescent Psychiatrist
Phone
(724) 799-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

9855 Rinaman Rd
Wexford, PA 15090-9226

Mailing address

9855 Rinaman Rd
Wexford, PA 15090-9226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260306000939 PA Part B Supplier - Clinic/Group Practice 4183106206 Receives reassigned benefits from 2 practitioners
Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Locations

6500 Brooktree Rd
Ste 208
Wexford, PA 15090
Phone (724) 299-1095

9855 Rinaman Rd
Wexford, PA 15090
Phone (724) 799-8558

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1780055731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 RINAMAN RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 RINAMAN RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909226",
            "telephone_number": "724-799-8558",
            "fax_number": "412-430-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT PSYCHIATRIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "UDREA",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CHILD AND ADOLESCENT PSYCHIATRIST",
        "authorized_official_telephone_number": "724-799-8558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.