Healthcare Provider Details

I. General information

NPI: 1821322397
Provider Name (Legal Business Name): UPMC/WPIC/EIBI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BINGHAM ST FRANKLIN BUILDING 4TH FLOOR
PITTSBURGH PA
15203-1101
US

IV. Provider business mailing address

1011 BINGHAM ST FRANKLIN BUILDING 4TH FLOOR
PITTSBURGH PA
15203-1101
US

V. Phone/Fax

Practice location:
  • Phone: 412-235-5335
  • Fax:
Mailing address:
  • Phone: 412-235-5335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KELLY J KINSEY
Title or Position: PSYCHIATRIC SPECIALTY COUNSLER II
Credential: M.ED
Phone: 412-352-5522