MEDICARE: ASSOCIATES IN CLINICAL PSYCHIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist
2	101YP2500X	Professional Counselor
3	104100000X	Social Worker	SW130203	PA
4	1041C0700X	Clinical Social Worker
5	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1381224	OTHER	PA	HIGHMARK BCBS
3	1330492	OTHER	PA	HIGHMARK BCBS
4	1821635	OTHER	PA	HIGHMARK BC/BS
5	1330474	OTHER	PA	HIGHMARK BCBS

General Provider Information

NPI Number	:	1679536221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN CLINICAL PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	110 FORT COUCH RD
Second Line	:	SUITE G200
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1030
Country	:	US
Telephone Number	:	412-347-0170
Fax Number	:	412-347-0174

Provider Business Practice Location Address
First Line	:	110 FORT COUCH RD
Second Line	:	SUITE G200
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1030
Country	:	US
Telephone Number	:	412-347-0170
Fax Number	:	412-347-0174

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRUCE ALAN WRIGHT
Credential	:	MD
Telephone Number	:	412-347-0170

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	04/29/2015

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