Provider Demographics
NPI:1376040139
Name:PITTSBURGH BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:PITTSBURGH BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MARCSISIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-564-3984
Mailing Address - Street 1:907 JANCEY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1336
Mailing Address - Country:US
Mailing Address - Phone:412-564-3984
Mailing Address - Fax:412-927-0209
Practice Address - Street 1:4111 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1305
Practice Address - Country:US
Practice Address - Phone:412-564-3984
Practice Address - Fax:412-927-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty