Provider Demographics
NPI:1205970290
Name:THE CHILDREN'S INSTITUTE OF PITTSBURGH
Entity type:Organization
Organization Name:THE CHILDREN'S INSTITUTE OF PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARDEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-420-2209
Mailing Address - Street 1:1405 SHADY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1396
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1405 SHADY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1396
Practice Address - Country:US
Practice Address - Phone:412-420-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHILDREN'S INSTITUTE OF PITTSBURGH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-16
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007271400002Medicaid