Provider Demographics
NPI:1457480758
Name:COMMUNITY PSYCHIATRIC CENTERS OUTPATIENT CLINIC
Entity Type:Organization
Organization Name:COMMUNITY PSYCHIATRIC CENTERS OUTPATIENT CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOWENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-681-4530
Mailing Address - Street 1:2 COLONIAL PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1418
Mailing Address - Country:US
Mailing Address - Phone:412-681-4530
Mailing Address - Fax:
Practice Address - Street 1:814 E PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3502
Practice Address - Country:US
Practice Address - Phone:724-850-7200
Practice Address - Fax:724-850-7214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA402720261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)