KEYSTONE ADVANCED BEHAVIORAL HEALTHCARE (NPI# 1184969271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184969271 |
| Entity Type | Organization |
| Organization Name | KEYSTONE ADVANCED BEHAVIORAL HEALTHCARE |
| Practice Address |
12300 Perry Highway Suite 204 Wexford PA 15090-7612 |
| Practice Telephone | 7247192303 |
| Practice Fax Number | 7247192303 |
| Mailing Telephone | 7247192303 |
| Mailing Fax Number | 7247192303 |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | DR. WENDY NUSS ZUBENKO (OWNER) |
| Authorized Official Telephone | 7247192303 |
| Authorized Official Credential | EDD, MSN, PMHCNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CNS000026 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12300 PERRY HIGHWAY SUITE 204 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104887702 | Wendy Nuss Zubenko | Clinical Nurse Specialist | 12300 Perry Highway, Suite 204, Wexford, PA 15090-7612 | 2006-03-31 |
| 1356434187 | George S. Zubenko | Psychiatry & Neurology | 12300 Perry Highway, Suite 204, Wexford, PA 15090-7612 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718981 | Ciara Lynch Levine | Clinical Nurse Specialist | 52 Cherry Farm Ln, West Chester, PA 19382-8346 | 2016-05-16 |
| 1841572625 | Ashley Lorren Bear | Clinical Nurse Specialist | 300 Robson Rd, Dillsburg, PA 17019-8920 | 2011-09-16 |
| 1992977664 | Shirley Mucha | Clinical Nurse Specialist | 3811 O Hara St, Erc 712, Pittburgh, PA 15213 | 2008-04-02 |
| 1972729333 | Pamela L Weaver | Clinical Nurse Specialist | 4127 Brownsville Rd, Lese Bldg Suite 207, Pittsburgh, PA 15227-3348 | 2007-04-17 |
| 1154449734 | Diane Goldblum-graff | Clinical Nurse Specialist | 521 Guinevere Dr, Newtown Square, PA 19073-4433 | 2007-03-26 |
| 1356469860 | Le Ann Guerriere Rynier | Clinical Nurse Specialist | Route 422 and Sportsman Road, Wernersville, PA 19565 | 2007-03-26 |
| 1972620094 | Judith Hauck | Clinical Nurse Specialist | 3 Enck Cir, Enola, PA 17025-1050 | 2007-03-23 |
| 1962538926 | Sharon Y Baron | Clinical Nurse Specialist | 1715 Green Valley Rd, Havertown, PA 19083-2520 | 2007-02-26 |
| 1942354097 | Michele Hamilton | Clinical Nurse Specialist | 110 Whitpain Hills, Michele Hamilton Cns, Blue Bell, PA 19422-1343 | 2007-01-23 |
| 1518071448 | Deborah Anne Fishman | Clinical Nurse Specialist | University Ave and Woodland Ave, Philadelphia, PA 19104 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEYSTONE ADVANCED BEHAVIORAL HEALTHCARE.
| 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.