MEDICARE: EMBARK PSYCHIATRY

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1790652493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBARK PSYCHIATRY

Provider Business Mailing Address
First Line	:	401 SHADY AVE STE B202-2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-4409
Country	:	US
Telephone Number	:
Fax Number	:	412-219-5568

Provider Business Practice Location Address
First Line	:	401 SHADY AVE STE B202-2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-4409
Country	:	US
Telephone Number	:	412-312-3178
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	MARIA PUZANOV
Credential	:	MD
Telephone Number	:	412-312-3178

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	04/28/2026

Similar Medicare Providers

1487115366 — DR. MARIA PUZANOV MD
Practice Location Address:

401 SHADY AVE STE B202-2
PITTSBURGH, PA
15206-4409

Practice Phone: 412-312-3178
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1710971874 — DR. C PAUL SCOTT MD
Practice Location Address:

401 SHADY AVE , STE C202
PITTSBURGH, PA
15206-4409

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401 SHADY AVE , SUITE 201C
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1053371229 — DR. SUSAN J ATKINSON PHD
Practice Location Address:

401 SHADY AVE , SUITE 104A
PITTSBURGH, PA
15206-4409

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Practice Location Address:

401 SHADY AVE , SUITE A 103
PITTSBURGH, PA
15206-4409

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1326002361 — MS. LAURIE J. GRAHAM MA, MED, NCC, LPC
Practice Location Address:

401 SHADY AVE , SUITE D 104
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Directions to “EMBARK PSYCHIATRY ” Practice Location

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