UPMC PRESBYTERIAN SHADYSIDE (NPI# 1750390134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750390134 |
| Entity Type | Organization |
| Organization Name | UPMC PRESBYTERIAN SHADYSIDE |
| Practice Address |
3811 Ohara St Pittsburgh PA 15213-2593 |
| Mailing Address |
600 Grant Street, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 |
| Practice Telephone | 4124325500 |
| Mailing Telephone | 4126236303 |
| Mailing Fax Number | 4126236369 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | MR. DAVID BOBRZYNSKI (CFO) |
| Authorized Official Telephone | 4122466809 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UPMC HEALTH PLAN NUMBER | 32 | 01 |
| PA | HIGHMARK PROVIDER NUMBER | 0110 | 01 |
| PA | CHAMPUS NUMBER | P008399 | 01 |
| PA | UPMC FOR YOU NUMBER | 32 | 01 |
| PA | VALUE OPTIONS NUMBER | 323761A328909 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194225318 | Upmc Presbyterian Shadyside | Pharmacy | 3507 Victoria St., Room 105, Pittsburgh, PA 15213 | 2018-02-14 |
| 1477883429 | Upmc Presbyterian Shadyside | Clinic/Center | 818 Braddock Ave, Braddock, PA 15104-1715 | 2010-01-13 |
| 1023666419 | Upmc Presbyterian Shadyside | Pharmacy | 200 Lothrop Street, F186 Inpatient Pharmacy (c/o Alfred L'altrelli), Pittsburgh, PA 15213 | 2019-08-28 |
| 1841693173 | Upmc Presbyterian Shadyside | Pharmacy | 3811 Ohara St, Suite 1516, Pittsburgh, PA 15213-2561 | 2014-10-01 |
| 1790945830 | Upmc Presbyterian Shadyside | Clinic/Center | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2008-06-12 |
| 1518089200 | Upmc Presbyterian Shadyside | Substance Abuse Rehabilitation Facility | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2007-04-04 |
| 1164544755 | Upmc Presbyterian Shadyside | Clinic/Center | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2007-04-04 |
| 1821137639 | Upmc Presbyterian Shadyside | Pharmacy | 5230 Centre Ave, Pittsburgh, PA 15232-1304 | 2007-02-06 |
| 1144384082 | Upmc Presbyterian Shadyside | Clinic/Center | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-12-21 |
| 1053471656 | Upmc Presbyterian Shadyside | Clinic/Center | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UPMC PRESBYTERIAN SHADYSIDE | 200 Lothrop St Ste N 739, Pittsburgh, PA 15213-2536 |
| New York State Corporations | UPMC PRESBYTERIAN SHADYSIDE | 80 State Street, Albany, New York 12207-2543 |
| North Carolina Corporations | UPMC Presbyterian Shadyside | 2 South Salisbury Street, Raleigh, NC 27601 |
| Street Address |
3811 OHARA ST |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639140353 | Mohamed Mostafa Ismael | Psychiatry & Neurology | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2006-01-31 |
| 1881203271 | Jessica Garrow | Counselor | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-07-30 |
| 1760090211 | Morgan Marie Sotir | Social Worker | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-07-21 |
| 1740802164 | Mara Rice-stubbs | Student in an Organized Health Care Education/Training Program | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-05-07 |
| 1215559737 | Mary Margaret Leeman | Student in an Organized Health Care Education/Training Program | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-05-07 |
| 1265052971 | Danielle Persing | Counselor | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-04-22 |
| 1689203085 | Ariana Hey | Recreation Therapist | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-04-07 |
| 1518596378 | Phil Mauskapf | Music Therapist | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-04-03 |
| 1144857525 | Sarah Sobocinski | Social Worker | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-03-25 |
| 1912530981 | Joelle Ditucci | Dietitian, Registered | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129707 | The Children's Institute of Pittsburgh | Psychiatric Unit | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2006-08-31 |
| 1225492432 | The Children's Institute of Pittsburgh | Psychiatric Unit | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2016-04-13 |
| 1528402708 | New Lifecare Hospitals of Pittsburgh LLC | Psychiatric Unit | 225 Penn Avenue, Pittsburgh, PA 15221-2173 | 2013-04-18 |
| 1619244498 | Rachel Sue Dean | Psychiatric Unit | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2011-11-22 |
| 1063798361 | Karen Mihal | Psychiatric Unit | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2011-10-31 |
| 1508177916 | Horacio A Spina Md | Psychiatric Unit | 1050 Bower Hill Rd, Suite 303, Pittsburgh, PA 15243-1800 | 2010-06-30 |
| 1396893152 | Lifecare Hospitals of Pittsburgh, LLC | Psychiatric Unit | 225 Penn Avenue, Pittsburgh, PA 15221 | 2007-01-08 |
| 1487755112 | St. Clair Memorial Hospital | Psychiatric Unit | 1000 Bower Hill Rd, Pittsburgh, PA 15243-1899 | 2006-09-26 |
| 1194734129 | Upmc South Side | Psychiatric Unit | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2006-08-07 |
| 1588683296 | West Penn Allegheny Health System Inc. | Psychiatric Unit | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2006-07-19 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on UPMC PRESBYTERIAN SHADYSIDE.
| 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.