Provider Demographics
NPI:1326274754
Name:CHILDREN'S INSTITUTE OF PITTSBURGH
Entity Type:Organization
Organization Name:CHILDREN'S INSTITUTE OF PITTSBURGH
Other - Org Name:CI BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND 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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty