NPIMap

Organization Active NPI

Cornell Abraxas Group Inc

Doing business as Abraxas Center for Adolescent Females

  • Children's Substance Abuse Rehabilitation Facility
  • Pittsburgh, PA
National Provider Identifier
1871636084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
411500 Issued in PA
Legal business name
CORNELL ABRAXAS GROUP INC
Doing business as
Abraxas Center for Adolescent Females
Practice address
306 Penn Ave
Pittsburgh, PA 15221-2134
Phone
(412) 244-3710
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Sadler
Title
Sr Business Manager
Phone
(814) 459-0618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 411500 PA Primary

Addresses

Primary practice location

306 Penn Ave
Pittsburgh, PA 15221-2134

Mailing address

306 Penn Ave
Pittsburgh, PA 15221-2134
Phone (412) 244-3710

Other identifiers 1

IdentifierTypeStateIssuer
411500OtherPADDAPL LICENSE

Other names 1

  • Abraxas Center for Adolescent Females Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cornell Abraxas Group LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

306 Penn Ave
Wilkinsburg, PA 15221
Phone (412) 241-5341

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871636084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212134",
            "telephone_number": "412-244-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212134",
            "telephone_number": "412-244-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL ABRAXAS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SR BUSINESS MANAGER",
        "authorized_official_telephone_number": "814-459-0618"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "PA",
            "license": "411500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDAPL LICENSE",
            "identifier": "411500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abraxas Center for Adolescent Females",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.