1588704944 NPI number — DR. CHERYL WINNING GHINASSI PH.D.

Table of content: DR. CHERYL WINNING GHINASSI PH.D. (NPI 1588704944)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588704944 NPI number — DR. CHERYL WINNING GHINASSI PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GHINASSI
Provider First Name:
CHERYL
Provider Middle Name:
WINNING
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

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:
1588704944
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1824 MURRAY AVE
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15217-1655
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-523-8396
Provider Business Mailing Address Fax Number:
412-441-4514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1824 MURRAY AVE
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15217-1655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-523-8396
Provider Business Practice Location Address Fax Number:
412-441-4514
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PS009200L , 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)

  • Identifier: 172069 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 468102 . This is a "HIGHMARK BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1009781950003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 502286164 . This is a "UNITED BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1485089 . This is a "HIGHMARK BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 164503 . This is a "MEDICARE UNSPECIFIED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1984 . This is a "HEALTH CHOICES" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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