Provider Demographics
NPI:1558623462
Name:UPMCWESTERNPSYCHIATRIC INSTITUTION
Entity Type:Organization
Organization Name:UPMCWESTERNPSYCHIATRIC INSTITUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR SERVICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-204-9012
Mailing Address - Street 1:5231 PENN AVE
Mailing Address - Street 2:GROUNDFLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1768
Mailing Address - Country:US
Mailing Address - Phone:412-204-9012
Mailing Address - Fax:
Practice Address - Street 1:5231 PENN AVE
Practice Address - Street 2:CHAMPION COMMOMS GROUND FLOOR
Practice Address - City:PITTSBRUGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-204-9012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital