Collaborative Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

COLLABORATIVE PSYCHIATRIC SERVICES

Practice address

4900 Perry Hwy Ste 1
Pittsburgh, PA 15229-2236

Phone

(412) 366-0416

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Timothy Mitzel, DONPI 1285656785

Title

Physician

Phone

(412) 307-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Timothy S Mitzel, D.O.

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1285656785
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Moore Brilmyer, RNCS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Pittsburgh, PA
  • NPI 1255338935
  Medicare reassignment Care Compare group NPD
• June Marie Ganley, L.C.S.W.

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1417954363
  Medicare reassignment Care Compare group NPD
• Danijela Ferri, PA C

  • Physician Assistant
  • New Castle, PA
  • NPI 1942370705
  Medicare reassignment
• Edward J Maletic, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1013485119
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1922574177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 PERRY HWY STE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292236",
            "telephone_number": "412-307-5600",
            "fax_number": "412-301-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 PERRY HWY STE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292236",
            "telephone_number": "412-366-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "MITZEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "412-307-5600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice J Coles
• Deborah J Coletta, MACCCSLP-A
• Sean Bernard Colgan
• Suzanne Colilla
• John James Coll Jr.
• Collamer Family Chiropractic
• Benjamin Collamer, D.C.
• Gina Ann Collar, RN
• Samuel Antonio Collazo, MD
• Colleen R. Cain, DMD, LLC

• Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.