JENNIFER MARIE CALISKAN


Address: 1813 Tyris Dr, Pittsburgh, PA 15241-2668
Phone: 4125239709

JENNIFER MARIE CALISKAN (NPI# 1376101220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376101220
Entity Type Individual
Full Name JENNIFER MARIE CALISKAN
Other Name JENNIFER MARIE MATONEY
Credential LPC, CRC
Practice Address 1813 Tyris Dr
Pittsburgh
PA 15241-2668
Practice Telephone 4125239709
Mailing Telephone 4125239709
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor PC006830 PA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
PC006830 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA PC006830 05
PA MEDICARE PC006830 01

Office Location

Street Address 1813 TYRIS DR
City PITTSBURGH
State PA
Zip Code 15241-2668

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PITTSBURGH
Zip Code 15241

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Dataset Information

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.

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