MEDICARE: STRESS MANAGEMENT CENTER OF AMERICA

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	276351	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1932376084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRESS MANAGEMENT CENTER OF AMERICA

Provider Business Mailing Address
First Line	:	2987 W LIBERTY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-2544
Country	:	US
Telephone Number	:	412-344-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	2987 W LIBERTY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-2544
Country	:	US
Telephone Number	:	412-344-3010
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FEREYDOON DANIEL RADFAR
Credential	:	M.D
Telephone Number	:	412-344-4010

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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Directions to “STRESS MANAGEMENT CENTER OF AMERICA ” Practice Location

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