Healthcare Provider Details

I. General information

NPI: 1740304955
Provider Name (Legal Business Name): UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE
PITTSBURGH PA
15224
US

IV. Provider business mailing address

PO BOX 382007
PITTSBURGH PA
15251-8007
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-0943
  • Fax:
Mailing address:
  • Phone: 412-647-0943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS J BARCELLONA
Title or Position: CFO
Credential:
Phone: 412-692-7331