UPMC CHAUTAUQUA AT WCA (NPI# 1063498889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063498889 |
| Entity Type | Organization |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| Other Organization Name | WOMAN'S CHRISTIAN ASSOCIATION HOSPITAL |
| Practice Address |
207 Foote Ave. Inpatient Mental Health Unit Jamestown NY 14701-7077 |
| Mailing Address |
600 Grant Street, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 |
| Practice Telephone | 7166648640 |
| Practice Fax Number | 7166648607 |
| Mailing Telephone | 4126236303 |
| Mailing Fax Number | 4126236369 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | BRAD DINGER (CFO) |
| Authorized Official Telephone | 8148773739 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPMC CHAUTAUQUA AT WCA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0602001H | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00354623 | 05 | |
| PA | 1007520620019 | 05 |
| Other Name | Type Code |
|---|---|
| UPMC Chautauqua WCA | Doing Business As Name - Organization |
| Woman's Christian Association Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187546 | Upmc Chautauqua At Wca | Radiology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2020-09-08 |
| 1568023687 | Upmc Chautauqua At Wca | Rehabilitation, Substance Use Disorder Unit | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2019-06-28 |
| 1720559578 | Upmc Chautauqua At Wca | Obstetrics & Gynecology | 207 Foote Avenue, Jamestown, NY 14701-7077 | 2018-12-05 |
| 1962748095 | Upmc Chautauqua At Wca | Obstetrics & Gynecology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2012-12-18 |
| 1295033298 | Upmc Chautauqua At Wca | Psychiatry & Neurology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2011-03-01 |
| 1386725182 | Upmc Chautauqua At Wca | Psychiatric Unit | 207 Foote Ave, Jamestown, NY 14701-7077 | 2006-10-18 |
| 1033227111 | Upmc Chautauqua At Wca | Emergency Medicine | 207 Foote Ave, Jamestown, NY 14701-7077 | 2006-08-28 |
| 1871570614 | Upmc Chautauqua At Wca | Rehabilitation Unit | 207 Foote Ave, Jamestown, NY 14701-7077 | 2005-12-22 |
| 1770573222 | Upmc Chautauqua At Wca | Clinic/Center | 207 Foote Ave, Jamestown, NY 14701-7077 | 2005-10-26 |
| Street Address |
207 FOOTE AVE. INPATIENT MENTAL HEALTH UNIT |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-7077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881258432 | Jill Clopp | Obstetrics & Gynecology | 207 Foote Ave., Chautauqua Ob / Gyn, Jamestown, NY 14701-7077 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164997441 | Jamestown Tn Medical Center Inc | Psychiatric Unit | 436 Central Ave W, Jamestown, TN 38556-3031 | 2018-10-12 |
| 1053648741 | Hma Fentress County General Hospital LLC | Psychiatric Unit | 436 Central Ave W, Jamestown, TN 38556-3031 | 2009-11-17 |
| 1386725182 | Upmc Chautauqua At Wca | Psychiatric Unit | 207 Foote Ave, Jamestown, NY 14701-7077 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.