UPMC BRADDOCK (NPI# 1710997341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710997341 |
| Entity Type | Organization |
| Organization Name | UPMC BRADDOCK |
| Practice Address |
400 Holland Ave Braddock PA 15104-1599 |
| Mailing Address |
Po Box 382007 Pittsburgh PA 15250-8007 |
| Practice Telephone | 4124325500 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. SUSAN MAMMARELLA (CFO) |
| Authorized Official Telephone | 4126365314 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK PROVIDER NUMBER | 0906 | 01 |
| PA | ION HEALTHCARE NUMBER | 1007360690008 | 01 |
| PA | 1007360690008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407910342 | Upmc Braddock | Clinic/Center | 200 Lothrop St, Quantum #1 3rd Fl, Pittsburgh, PA 15213-2536 | 2006-12-21 |
| 1629088257 | Upmc Braddock | Skilled Nursing Facility | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-08 |
| 1831108489 | Upmc Braddock | General Acute Care Hospital | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-05 |
| Street Address |
400 HOLLAND AVE |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719738 | Charles Krifcher | Specialist | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-02-14 |
| 1518117373 | Carmen Joseph Scolieri | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-09-29 |
| 1629231972 | Sonja Eckstrom | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-07-08 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1144493503 | Curt David Bell | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-08 |
| 1134392681 | Michelle Lynne Leddon | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-04 |
| 1336312974 | Thomas Mark Kelly | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-03 |
| 1811169519 | Nancy Jean Feth | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1245403922 | Edward Richard Williams | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1124291877 | Jeanne Nicole Matucheski | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| Find all providers in zip 15104 | ||||
| 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 |
|---|---|---|---|---|
| 1366596488 | Meadville Medical Center | Psychiatric Unit | 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 | 2007-01-23 |
| 1023129707 | The Children's Institute of Pittsburgh | Psychiatric Unit | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2006-08-31 |
| 1588771216 | Pinnacle Health Hospitals | Psychiatric Unit | 2401 N 3rd St, Harrisburg, PA 17110-1902 | 2006-08-25 |
| 1356354567 | Blue Mountain Hospital | Psychiatric Unit | 211 North 12th Street, Lehighton, PA 18235-1138 | 2006-08-15 |
| 1194755892 | Tenet Health System Hahnemann, LLC | Psychiatric Unit | Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 | 2006-07-05 |
| 1649897562 | Highlands Hospital and Health Center | Psychiatric Unit | 401 E Murphy Ave, Connellsville, PA 15425-2724 | 2020-06-26 |
| 1336786276 | Somerset Health Services, Inc. | Psychiatric Unit | 225 S Center Ave, Somerset, PA 15501-2033 | 2019-12-10 |
| 1649746488 | Upmc Williamsport | Psychiatric Unit | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-10-19 |
| 1184116774 | Schuylkill Medical Center - South Jackson Street | Psychiatric Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
| 1629578604 | Calvin A Alvesvelez | Psychiatric Unit | 500 University Dr, Hershey, PA 17033-2360 | 2018-02-16 |
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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.