FULL SPECTRUM PSYCHIATRY (NPI# 1609481589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609481589 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM PSYCHIATRY |
| Practice Address |
12 Eastern Ave Ste 200 Pittsburgh PA 15215-3038 |
| Practice Telephone | 4123451159 |
| Mailing Telephone | 4123451159 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | XENIA BORUE (PRESIDENT) |
| Authorized Official Telephone | 4123451159 |
| Authorized Official Credential | MD PHD |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1030834200001 | 05 |
| Street Address |
12 EASTERN AVE STE 200 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15215-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922396035 | Xenia Borue | Psychiatry & Neurology | 12 Eastern Ave Ste 200, Pittsburgh, PA 15215-3038 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739202 | Layla Marie Franco | Massage Therapist | 411 Freeport Rd, Pittsburgh, PA 15215 | 2020-10-29 |
| 1699396978 | Joseph Newark Legg II | Student in an Organized Health Care Education/Training Program | 1010 Delafield Road, Hj Heinz Dental 132d-a, Pittsburgh, PA 15215 | 2020-04-28 |
| 1174188817 | Jonathan Michael Weiss | Student in an Organized Health Care Education/Training Program | Upmc St. Margaret Family Medicine Residency, 815 Freeport Road, Pittsburgh, PA 15215 | 2019-05-08 |
| 1720558356 | Madayln Bond Kalmar | Nurse Practitioner | 420 E North Avenue, Suite 205, Pittsburgh, PA 15215 | 2018-11-27 |
| 1558774547 | Enayetullah Neak | Family Medicine | 815 Freeport Rd., Pittsburgh, PA 15215 | 2014-06-06 |
| 1952730095 | Kelli Bradley | Physician Assistant | 200 Medical Arts Bldg, 200 Delafield Rd, Suite 4010, Pittsburgh, PA 15215 | 2013-11-08 |
| 1659689958 | Kelli Sarocky | Physician Assistant | 115 Center Ave, Pittsburgh, PA 15215 | 2010-09-21 |
| 1972731248 | Paul M. Bernstein and Associates | Counselor | 103 Brilliant Avenue, 2nd Floor Suite C, Aspinwall, PA 15215 | 2009-06-25 |
| 1184861544 | Adam Abdulally | Family Medicine | 7219 Mcknight Rd., Pittsburgh, PA 15215 | 2009-01-07 |
| 1629283072 | John R Mellett | Dentist | 101 Emerson Avenue, Pittsburgh, PA 15215 | 2007-05-11 |
| Find all providers in zip 15215 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417227 | One of A Kind Mind LLC | Clinic/Center | 5655 Bryant St Ste 201, Pittsburgh, PA 15206-1511 | 2020-02-03 |
| 1215003447 | Persad Center, Inc. | Clinic/Center | 5301 Butler St, Suite 100, Pittsburgh, PA 15201-2656 | 2006-11-28 |
| 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 |
| 1144718172 | C Michaela Jacks LLC | Clinic/Center | 1789 S Braddock Ave Ste 350, Pittsburgh, PA 15218-1871 | 2018-04-25 |
| 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 | 15215 |
Please comment or provide details below to improve the information on FULL SPECTRUM PSYCHIATRY.
| 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.