C MICHAELA JACKS LLC


Address: 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871
Phone: 4122138425

C MICHAELA JACKS LLC (NPI# 1144718172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144718172
Entity Type Organization
Organization Name C MICHAELA JACKS LLC
Practice Address 1789 S Braddock Ave Ste 350
Pittsburgh
PA 15218-1871
Practice Telephone 4122138425
Mailing Telephone 4122138425
Enumeration Date 2018-04-25
Last Update Date 2018-05-01
Authorized Official Name CRYSTAL M JACKS (SOLE MEMBER)
Authorized Official Telephone 4122138425
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
MF000999 PA Ambulatory Health Care Facilities

Office Location

Street Address 1789 S BRADDOCK AVE STE 350
City PITTSBURGH
State PA
Zip Code 15218-1871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285131870 Crystal Michaela Jacks Marriage & Family Therapist 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871 2018-04-10
1861010639 Caitlin Senk Counselor 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871 2020-07-08

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NPI Name Taxonomy Address Enumeration
1962019299 Just Right Tender Care Agency Home Health 2212 Hawthorne Ave, Swissvale, PA 15218 2020-09-30
1164947412 All About Massage and Wellness, LLC Social Worker 1112 S. Braddock Avenue, Suite 301d, Pittsburgh, PA 15218 2017-08-08
1790923019 Interim Healthcare Hospice of Western Pennsylvania, Inc. Hospice Care, Community Based 1789 South Braddock Avenue, Suite 340, Pittsburgh, PA 15218 2009-01-23
1821192303 Lola Marie Wells Specialist Pittsburg Veterans Affairs Medical Centers, University Drive 'c', Pittsburgh, PA 15218 2006-09-12
1922027580 Michael A. Demoise Dentist 7417 Irvine Ave., Pittsburgh, PA 15218 2006-07-18
1346296191 Cheryl Massimo LLC Social Worker 7424 Washington Street, Pittsburgh, PA 15218 2006-05-25
1760616957 Leah Jessica Herman Counselor 1789 South Braddock Avenue, Suite 585 Edgewood Town Centre, Pittsburgh, PA 15218 2009-05-04
1437221371 Todd C Henkelmann Physical Therapist 1789 S. Braddock Ave, Suite 10, Pittsburgh, PA 15218 2006-11-15
1740345446 Joseph Metz Mazzei Radiology 1142 Nevada St, Pittsburgh, PA 15218-1003 2006-12-25
1912157157 The Environmental Charter School At Frick Park Local Education Agency (LEA) 829 Milton St, Pittsburgh, PA 15218-1005 2008-09-24
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1609481589 Full Spectrum Psychiatry Clinic/Center 12 Eastern Ave Ste 200, Pittsburgh, PA 15215-3038 2020-09-09
1437791761 Adverse Childhood Experience Clinic/Center 208 Long Rd, Pittsburgh, PA 15235-3145 2019-10-08
1952942625 Rayna Copperman LLC Clinic/Center 5908 Bryant St, Pittsburgh, PA 15206-1606 2019-10-03
1376040568 Janelle Maloch LLC Clinic/Center 5908 Bryant St Ste 5, Pittsburgh, PA 15206-1606 2018-04-12
1386016624 Orenda Counseling Center, LLC Clinic/Center 1386 Old Freeport Rd, Suite 1af, Pittsburgh, PA 15238-3115 2015-10-27
1124498050 Orenda Counseling Center, LLC Clinic/Center 1386 Old Freeport Rd, Suite 1af, Pittsburgh, PA 15238-3115 2015-10-05
1710353016 Pittsburgh Psychiatric and Psychological Services Clinic/Center 2008 Murray Ave, Suite A2, Pittsburgh, PA 15217-2169 2015-08-20
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Competitor

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City PITTSBURGH
Zip Code 15218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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