Provider Demographics
NPI:1225492432
Name:THE CHILDREN'S INSTITUTE OF PITTSBURGH
Entity Type:Organization
Organization Name:THE CHILDREN'S INSTITUTE OF PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARDEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-420-2209
Mailing Address - Street 1:1405 SHADY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1350
Mailing Address - Country:US
Mailing Address - Phone:412-420-2400
Mailing Address - Fax:412-244-3087
Practice Address - Street 1:6301 NORTHUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1360
Practice Address - Country:US
Practice Address - Phone:412-420-2400
Practice Address - Fax:412-244-3087
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHILDREN'S INSTITUTE OF PITTSBURGH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA940600273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit