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).
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 |
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 |
Street Address |
1789 S BRADDOCK AVE STE 350 |
City | PITTSBURGH |
State | PA |
Zip Code | 15218-1871 |
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 |
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 |
Find all providers in zip 15218 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1215003447 | Persad Center, Inc. | Clinic/Center | 5301 Butler St, Suite 100, Pittsburgh, PA 15201-2656 | 2006-11-28 |
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 |
1265836449 | Jeanette Tomko | Clinic/Center | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2014-10-16 |
Find all providers in PITTSBURGH |
City | PITTSBURGH |
Zip Code | 15218 |
Please comment or provide details below to improve the information on C MICHAELA JACKS LLC.
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.