NPIMap

Organization Active NPI

Sharon Regional Health System

  • Psychiatry Physician
  • Sharon, PA
National Provider Identifier
1821038134
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SHARON REGIONAL HEALTH SYSTEM
Practice address
740 E State St
Behavioral Health Dept.
Sharon, PA 16146-3328
Phone
(724) 983-5439
Fax
(724) 983-5661
NPI assigned
Jun 7, 2006
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SHARON REGIONAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mr. Jeff A Chrobak
Title
Vice President, Finance
Phone
(724) 983-3815

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Clinical Psychologist 103TC0700X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Registered Nurse 163W00000X
Psychiatry Physician 2084P0800X Primary
Addiction Psychiatry Physician 2084P0802X
Child & Adolescent Psychiatry Physician 2084P0804X

Addresses

Primary practice location

740 E State St
Behavioral Health Dept.
Sharon, PA 16146-3328

Mailing address

699 E State St
Sharon, PA 16146-2057
Phone (724) 983-3817

Other identifiers 1

IdentifierTypeStateIssuer
1325079OtherHIGHMARK (BEHAV HEALTH)

Other names 1

  • SRHS Behavioral Specialists Other name

National Provider Directory

National Provider Directory
Tax ID family
Sharon Regional26 organizations share this tax ID, including this one
Part of
Sharon Regional

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1821038134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462057",
            "telephone_number": "724-983-3817",
            "fax_number": "724-983-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E STATE ST",
            "address_2": "BEHAVIORAL HEALTH DEPT.",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463328",
            "telephone_number": "724-983-5439",
            "fax_number": "724-983-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARON REGIONAL HEALTH SYSTEM",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "CHROBAK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "724-983-3815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK (BEHAV HEALTH)",
            "identifier": "1325079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHS Behavioral Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sharon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.