Provider Demographics
NPI:1932376084
Name:STRESS MANAGEMENT CENTER OF AMERICA
Entity Type:Organization
Organization Name:STRESS MANAGEMENT CENTER OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FEREYDOON
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:RADFAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-344-4010
Mailing Address - Street 1:2987 W LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2544
Mailing Address - Country:US
Mailing Address - Phone:412-344-3010
Mailing Address - Fax:
Practice Address - Street 1:2987 W LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2544
Practice Address - Country:US
Practice Address - Phone:412-344-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA276351OtherBLUE SHIELD