Healthcare Provider Details

I. General information

NPI: 1205411584
Provider Name (Legal Business Name): NOCTEM HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 OAKLAND AVE
PITTSBURGH PA
15213-4064
US

IV. Provider business mailing address

218 OAKLAND AVE
PITTSBURGH PA
15213-4064
US

V. Phone/Fax

Practice location:
  • Phone: 412-897-3183
  • Fax:
Mailing address:
  • Phone: 412-897-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARA MCFADDEN
Title or Position: COO
Credential:
Phone: 510-468-4426