Provider Demographics
NPI:1033381157
Name:ASSOCIATES IN QUALITY PSYCHIATRIC MEDICINE PC
Entity Type:Organization
Organization Name:ASSOCIATES IN QUALITY PSYCHIATRIC MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-681-2211
Mailing Address - Street 1:4416 PENN AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:412-681-2211
Mailing Address - Fax:412-687-0728
Practice Address - Street 1:4416 PENN AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-681-2211
Practice Address - Fax:412-687-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA673053Medicare PIN