NPIMap

Organization Active NPI

Pennsylvania Department of Public Welfare

  • Psychiatric Hospital
  • Bridgeville, PA
National Provider Identifier
1902889876
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
Practice address
1601 Mayview Rd
Bridgeville, PA 15017-1547
Phone
(412) 257-6226
Fax
(412) 257-6808
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Linda Wylie
Title
Ceo
Phone
(412) 257-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1601 Mayview Rd
Bridgeville, PA 15017-1547

Mailing address

1601 Mayview Rd
Bridgeville, PA 15017-1547
Phone (412) 257-6226

Other identifiers 1

IdentifierTypeStateIssuer
100308518MedicaidPA

Other names 1

  • Mayview State Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 394018

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MAYVIEW STATE HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Dec 31, 2008
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Oct 17, 2002
Beds
400
Ownership / control type
State
Facility address
1601 Mayview Road
Bridgeville, PA 15017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1902889876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAYVIEW RD",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171547",
            "telephone_number": "412-257-6226",
            "fax_number": "412-257-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAYVIEW RD",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171547",
            "telephone_number": "412-257-6226",
            "fax_number": "412-257-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-257-6226"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100308518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayview State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.