Provider Demographics
NPI: | 1851693956 |
---|---|
Name: | THE STERN CENTER OF ALLEGHENY |
Entity Type: | Organization |
Organization Name: | THE STERN CENTER OF ALLEGHENY |
Other - Org Name: | THE STERN CENTER FOR DEVELOPMENTAL AND BEHAVIORAL HEALTH, INC. |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CREDENTIALING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | HEATHER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BENNETT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 724-626-9941 |
Mailing Address - Street 1: | 110 S ARCH ST |
Mailing Address - Street 2: | SUITE 2A |
Mailing Address - City: | CONNELLSVILLE |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15425-3515 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 724-626-9941 |
Mailing Address - Fax: | 724-626-2785 |
Practice Address - Street 1: | 21 YOST BLVD |
Practice Address - Street 2: | COST COMMONS 5, SUITE 303 |
Practice Address - City: | PITTSBURGH |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15221-5283 |
Practice Address - Country: | US |
Practice Address - Phone: | 412-816-0761 |
Practice Address - Fax: | 412-816-1680 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-11-22 |
Last Update Date: | 2010-11-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
No | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation | Group - Multi-Specialty |
No | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | School | Group - Multi-Specialty |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |