1215749130 NPI number — BRIDGES PSYCHOLOGICAL ASSESSMENT, PLLC

Table of content: GEORGIANNE SANTA SHEEHY LCSW (NPI 1942658067)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215749130 NPI number — BRIDGES PSYCHOLOGICAL ASSESSMENT, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIDGES PSYCHOLOGICAL ASSESSMENT, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215749130
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9800A MCKNIGHT RD STE 307
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15237-6025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-593-4091
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9800A MCKNIGHT RD STE 307
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237-6025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-593-4091
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2025

Additional Information

Authorized Official

Authorized Official Last Name:
KIRSCH
Authorized Official First Name:
CHRISTINA
Authorized Official Middle Name:
HANNA
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
717-829-8486

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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