Provider Demographics
NPI:1730447228
Name:WESTERN PSYCHIATRIC INSTITUTE AND CLINIC
Entity type:Organization
Organization Name:WESTERN PSYCHIATRIC INSTITUTE AND CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EVALUATOR CLINICIAN I
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:412-647-9380
Mailing Address - Street 1:102 HARBISON PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-2248
Mailing Address - Country:US
Mailing Address - Phone:412-952-8429
Mailing Address - Fax:
Practice Address - Street 1:102 HARBISON PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-2248
Practice Address - Country:US
Practice Address - Phone:412-952-8429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPMC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital