MINDFUL BEHAVIORAL HEALTH LLC (NPI# 1336775022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336775022 |
| Entity Type | Organization |
| Organization Name | MINDFUL BEHAVIORAL HEALTH LLC |
| Practice Address |
134 S Highland Ave Ste 7 Pittsburgh PA 15206-3968 |
| Mailing Address |
1432 Graham Blvd Pittsburgh PA 15235-2728 |
| Practice Telephone | 4129790262 |
| Mailing Telephone | 4129790262 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | VIRGINIA CAROLYN MARTIN (PSYCHOLOGIST) |
| Authorized Official Telephone | 4129790262 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
134 S HIGHLAND AVE STE 7 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15206-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649827411 | Tania Hawkins | Specialist | 5744 Baum Blouvard, Shadyside, PA 15206 | 2019-08-26 |
| 1073091252 | Elizabeth Kathryn Allen | Counselor | 220 N Fairmount St Apt 3, Pittsburgh, PA 15206 | 2018-07-31 |
| 1730603408 | Jennifer Marie Zapata | Counselor | 1391 Washington Boulevard, Pittsburgh, PA 15206 | 2017-08-03 |
| 1164942462 | Shanna L Tresatti | Counselor | 1391 Washington Blvd., Pittsburgh, PA 15206 | 2017-06-27 |
| 1457880858 | Keith Hill Sr. | Counselor | 6925 Churchland Street, Pittsburgh, PA 15206 | 2017-06-08 |
| 1245766310 | Prime Psychiatric Care, LLC | Clinic/Center | 6245 Living Place, Suite 2085, Pittsburgh, PA 15206 | 2017-05-10 |
| 1144765868 | Elizabeth Sherman | Occupational Therapist | 5877 Commerce St Ste 2, Pittsburgh, PA 15206 | 2017-01-04 |
| 1649626730 | Sarah Lubiejewski | Dentist | 5986 Centre Ave, Suite C-201, Pittsburgh, PA 15206 | 2016-05-09 |
| 1871956391 | Kadie Fritz | Physician Assistant | 5601 Centre Ave., Suite 360, Pittsburgh, PA 15206 | 2016-04-01 |
| 1750740155 | Perfect Smile Dental Group PC | Dentist | 715 N Highland Ave Ste 1, Pittsburgh, PA 15206 | 2016-02-15 |
| Find all providers in zip 15206 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629526710 | Synergy Behavioral Health | Clinic/Center | 3233 Niagara Sq, Pittsburgh, PA 15213-4276 | 2016-09-17 |
| 1568972735 | Terri Fessler Lcsw LLC | Clinic/Center | 6315 Forbes Ave Ste F114b, Pittsburgh, PA 15217-1745 | 2017-10-02 |
| 1336566975 | The Watson Institute | Clinic/Center | 255 S Negley Ave, Pittsburgh, PA 15206-3522 | 2014-03-20 |
| 1699117481 | Western Psychiatric Institute and Clinic | Clinic/Center | 100 N Bellefield Ave, Pittsburgh, PA 15213-2600 | 2013-07-23 |
| 1407114119 | Nicole Lynn Petrusik | Clinic/Center | 5231 Penn Ave, Pittsburgh, PA 15224-1768 | 2012-05-01 |
| 1912203027 | Community Specialists Corporation | Clinic/Center | 900 Agnew Rd, Pittsburgh, PA 15227-3902 | 2011-02-07 |
| 1649444159 | Rebecca Canobbio Abel | Clinic/Center | 100 N Bellefield Ave, 6th Floor, Pittsburgh, PA 15213-2600 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930368 | Marley's Mission Inc | Clinic/Center | 2150 Port Royal Rd, Clarks Summit, PA 18411-9660 | 2020-10-20 |
| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| 1851953145 | Colonial Intermediate Unit 20 | Clinic/Center | 539 School Rd, Nazareth, PA 18064-9309 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
| City | PITTSBURGH |
| Zip Code | 15206 |
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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.