NPIMap

Organization Active NPI

Wesley Spectrum Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilkinsburg, PA
National Provider Identifier
1891840070
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
447930 Issued in PA
Legal business name
WESLEY SPECTRUM SERVICES
Practice address
221 Penn Ave
Wilkinsburg, PA 15221-2118
Phone
(412) 342-2300
Fax
(412) 342-2298
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Emily J. Pietrak, CPA
Title
Director of Finance/Cfo
Phone
(412) 342-2288

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 422580 PA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 422580 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 422580 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 447930 PA Primary

Addresses

Primary practice location

221 Penn Ave
Wilkinsburg, PA 15221-2118

Mailing address

221 Penn Ave
Wilkinsburg, PA 15221-2118
Phone (412) 342-2300

Other identifiers 3

IdentifierTypeStateIssuer
1001340160021MedicaidPA
131726OtherPAKHPW
329484A013419OtherPAVBH OF PA

Other names 1

  • THE WESLEY INSTITUTE Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
The Wesley Institute22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

5250 Caste Dr
Pittsburgh, PA 15236
Phone (412) 831-9390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1891840070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PENN AVE",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212118",
            "telephone_number": "412-342-2300",
            "fax_number": "412-342-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PENN AVE",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212118",
            "telephone_number": "412-342-2300",
            "fax_number": "412-342-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY SPECTRUM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "PIETRAK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/CFO",
        "authorized_official_telephone_number": "412-342-2288",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "422580",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "422580",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "422580",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "447930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001340160021",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPW",
            "identifier": "131726",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH OF PA",
            "identifier": "329484A013419",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WESLEY INSTITUTE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wilkinsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.