Provider Demographics
NPI:1609873173
Name:FAMILY SERVICES OF WESTERN PENNSYLVANIA
Entity Type:Organization
Organization Name:FAMILY SERVICES OF WESTERN PENNSYLVANIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIAN-MICHAELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-820-2050
Mailing Address - Street 1:3230 WILLIAM PITT WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1361
Mailing Address - Country:US
Mailing Address - Phone:412-820-2050
Mailing Address - Fax:412-820-8357
Practice Address - Street 1:3230 WILLIAM PITT WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1361
Practice Address - Country:US
Practice Address - Phone:412-820-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000006300Medicaid
PA131469Medicare ID - Type Unspecified
PA394602Medicare ID - Type Unspecified