1891716916 NPI number — ALLEGHENY MENTAL HEALTH ASSOCIATES

Table of content: MISS BILIKIS OLUWATOYIN AWOSIKA RN (NPI 1235575002)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891716916 NPI number — ALLEGHENY MENTAL HEALTH ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLEGHENY MENTAL HEALTH ASSOCIATES
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:
6
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:
1891716916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6403 BEACON ST
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:
15217-1803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-708-1409
Provider Business Mailing Address Fax Number:
412-968-0527

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1326 FREEPORT RD STE 250
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:
15238-3121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-967-5660
Provider Business Practice Location Address Fax Number:
412-968-0527
Provider Enumeration Date:
07/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GERSHANOK
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
V
Authorized Official Title or Position:
PSYCHOTHERAPIST
Authorized Official Telephone Number:
412-708-1409

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW014916 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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