Healthcare Provider Details

I. General information

NPI: 1609873173
Provider Name (Legal Business Name): FAMILY SERVICES OF WESTERN PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 WILLIAM PITT WAY
PITTSBURGH PA
15238-1361
US

IV. Provider business mailing address

3230 WILLIAM PITT WAY
PITTSBURGH PA
15238-1361
US

V. Phone/Fax

Practice location:
  • Phone: 412-820-2050
  • Fax:
Mailing address:
  • Phone: 412-820-2050
  • Fax: 412-820-8357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN CHRISTIAN-MICHAELS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 412-820-2050