Healthcare Provider Details

I. General information

NPI: 1285757435
Provider Name (Legal Business Name): PYRAMID HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FORBES AVE STE 200
PITTSBURGH PA
15219-5125
US

IV. Provider business mailing address

1894 PLANK RD P.O. BOX 967
DUNCANSVILLE PA
16635-8380
US

V. Phone/Fax

Practice location:
  • Phone: 412-481-1922
  • Fax: 412-281-1570
Mailing address:
  • Phone: 814-940-0407
  • Fax: 814-941-0574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number707229
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number707229
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number707229
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number707229
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number707229
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number707229
License Number StatePA

VIII. Authorized Official

Name: MR. JASON HENDRICKS
Title or Position: CEO
Credential:
Phone: 814-940-0407