FAMILY BEHAVIORAL RESOURCES, INC.

Provider Demographics

• NPI: 1508933599
• Name: FAMILY BEHAVIORAL RESOURCES, INC.
• Entity Type: Organization
• Organization Name: FAMILY BEHAVIORAL RESOURCES, INC.
• Authorized Official - Title/Position: CREDENTIALING
• Authorized Official - First Name: CHRISTINE
• Authorized Official - Last Name: BLOUGH
• Authorized Official - Phone: 724-438-3011
• Mailing Address - Street 1: 339 OLD HAYMAKER RD STE 209
• Mailing Address - City: MONROEVILLE
• Mailing Address - State: PA
• Mailing Address - Zip Code: 15146-1684
• Mailing Address - Country: US
• Mailing Address - Phone: 724-850-8118
• Mailing Address - Fax: 724-850-9500
• Practice Address - Street 1: 131 MATHEWS ST
• Practice Address - Street 2: SUITE 2000
• Practice Address - City: GREENSBURG
• Practice Address - State: PA
• Practice Address - Zip Code: 15601-6939
• Practice Address - Country: US
• Practice Address - Phone: 724-850-8118
• Practice Address - Fax: 724-850-9500
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-11-29
• Last Update Date: 2020-07-16

Provider Licenses

State	License ID	Taxonomies
PA	422020	103T00000X, 2084P0005X, 2084P0800X, 2084P0804X, 251B00000X, 251K00000X, 251S00000X, 261Q00000X, 261QM0801X, 261QM0855X
PA	436220	251K00000X, 251S00000X, 261QM0801X
PA	332090	261Q00000X
PA	332080	261Q00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	251K00000X	Agencies	Public Health or Welfare
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Single Specialty
No	2084P0005X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Neurodevelopmental Disabilities	Group - Single Specialty
No	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Psychiatry	Group - Single Specialty
No	2084P0804X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Child & Adolescent Psychiatry	Group - Single Specialty
No	251B00000X	Agencies	Case Management
No	251S00000X	Agencies	Community/Behavioral Health		Group - Single Specialty
No	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)
No	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center	Adolescent and Children Mental Health

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	2080107	Other	HIGHMARK
	1839965	Other	HIGHMARK
PA	422020	Medicaid
PA	332080	Medicaid
PA	436220	Medicaid
	0197961	Other	HIGHMARK
PA	1007624160037	Medicaid
PA	1007624160018	Medicaid
PA	332090	Medicaid
PA	1007624160038	Medicaid
	2127917	Other	HIGHMARK
PA	420340	Medicaid
PA	436220	Medicaid