JADE WELLNESS CENTER (NPI# 1487158143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487158143 |
| Entity Type | Organization |
| Organization Name | JADE WELLNESS CENTER |
| Practice Address |
4105 Monroeville Blvd Monroeville PA 15146-2607 |
| Practice Telephone | 4123800100 |
| Practice Fax Number | 4123800200 |
| Mailing Telephone | 4123800100 |
| Mailing Fax Number | 4123800200 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | ABBIE SCANIO (VICE PRESIDENT) |
| Authorized Official Telephone | 4123800100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
707270 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1024568880001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 N Meadows Dr Ste 234, Wexford, PA 150908368 | 4123800100 | |
| 809 Bingham St, Pittsburgh, PA 152031009 | 4123800100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619291093 | Jade Wellness Center | Clinic/Center | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2010-03-15 |
| Street Address |
4105 MONROEVILLE BLVD |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568494912 | Pamela Hucko Koerner | Pharmacist | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2006-07-07 |
| 1306488242 | Kristen Radage | Social Worker | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2019-10-11 |
| 1285296061 | Amanda Jeromin | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2019-07-02 |
| 1841799368 | Sara Michelle Brestensky | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2018-02-10 |
| 1720587835 | Jenna Rae Vidulich | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2018-02-04 |
| 1184084899 | Keri Spaw | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146 | 2016-02-24 |
| 1700266616 | Gabrielle Geier | Counselor | 4105 Monroeville Blvd, Jade Wellness Center, Monroeville, PA 15146-2607 | 2015-06-05 |
| 1659715811 | Richard E Pirozzi | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2013-04-18 |
| 1619291093 | Jade Wellness Center | Clinic/Center | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2010-03-15 |
| 1184817884 | Shannon Leslie Allen | Psychiatry & Neurology | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2007-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619291093 | Jade Wellness Center | Clinic/Center | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2010-03-15 |
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| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 15146 |
Please comment or provide details below to improve the information on JADE WELLNESS CENTER.
| 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.