Individual provider Active NPI

Paul David Maniago, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sewickley, PA
National Provider Identifier
1871961607
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP015321 Issued in PA
Practice address
720 Blackburn Rd
Sewickley Hospital - 4 Central
Sewickley, PA 15143-1459
Phone
(412) 749-7140
NPI assigned
Sep 10, 2015
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP015321 PA Primary

Addresses

Primary practice location

720 Blackburn Rd
Sewickley Hospital - 4 Central
Sewickley, PA 15143-1459

Mailing address

111 Hazel LN Ste 300
Sewickley, PA 15143-1253
Phone (412) 749-7330

Other practice location 1

25 Heckel Rd
Mc Kees Rocks, PA 15136-1651
Phone (412) 777-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111001072 PA Practitioner - Nurse Practitioner 7315257995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Facilities IncGroup PAC ID 8325956592, 37 clinicians

Practice addresses (Care Compare)

111 Hazel LN
Suite 300
Sewickley, PA 15143-1253
Phone (412) 749-7330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Oct 21, 2015 Accepting new patients
Valley Medical Facilities, Inc CurrentSince Oct 21, 2015 Accepting new patients
Valley Medical Facilities, Inc. Current Accepting new patients

Locations

200 Ohio River Blvd
Baden, PA 15005

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

111 Hazel Ln
Ste 300
Sewickley, PA 15143
Phone (412) 749-7330

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

720 Blackburn Rd
#4
Sewickley, PA 15143
Phone (412) 749-7140

Interoperability endpoints

  • Direct secure messaging: paulmaniago@hvhs.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1871961607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN STE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-749-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN RD",
            "address_2": "SEWICKLEY HOSPITAL - 4 CENTRAL",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431459",
            "telephone_number": "412-749-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Heckel Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Kees Rocks",
            "state": "PA",
            "postal_code": "151361651",
            "country_code": "US",
            "telephone_number": "412-777-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIAGO",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP015321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.