Provider Demographics
NPI:1790856656
Name:UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES
Entity Type:Organization
Organization Name:UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, BEHAVIORAL HEAL
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-940-7457
Mailing Address - Street 1:500 E CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-5215
Mailing Address - Country:US
Mailing Address - Phone:814-940-7457
Mailing Address - Fax:814-569-1019
Practice Address - Street 1:500 E CHESTNUT AVE
Practice Address - Street 2:ADULT PARTIAL PROGRAM
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-5215
Practice Address - Country:US
Practice Address - Phone:814-943-0414
Practice Address - Fax:814-943-6198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA360420251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA263087OtherHIGHMARK & PA BLUE SHIELD
PA1652320OtherHIGHMARK AND PA BLUE SHIE
PA1000007650040Medicaid