Provider Demographics
NPI:1871668285
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 1:154 LAKEMONT PARK BLVD
Practice Address - Street 2:ACEL
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-5900
Practice Address - Country:US
Practice Address - Phone:814-944-8179
Practice Address - Fax:814-505-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA310060251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000007650001Medicaid
PA1000007650007Medicaid
PA100007650053Medicaid
PA1000007650055Medicaid