1801911888 NPI number — STEPHEN P. SCHACHNER ASSOCIATES, P.A.

Table of content: (NPI 1801911888)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801911888 NPI number — STEPHEN P. SCHACHNER ASSOCIATES, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEPHEN P. SCHACHNER ASSOCIATES, P.A.
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:
1801911888
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
128 N CRAIG ST
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213-2744
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-683-1000
Provider Business Mailing Address Fax Number:
412-683-1084

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
128 N CRAIG ST
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213-2744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-683-1000
Provider Business Practice Location Address Fax Number:
412-683-1084
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHACHNER
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
PAUL
Authorized Official Title or Position:
OWNER, LICENSED PSYCHOLOGIST
Authorized Official Telephone Number:
412-683-1000

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  PC004123 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: PS-002053-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TS0200X , with the licence number: 187-34-9581 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163WP0808X , with the licence number: RN-166409-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1386606614 . This is a "SAMUEL K SCHACHNER NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 426702 . This is a "STEPHEN P. SCHACHNER BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001250 . This is a "MARCIA K. SCHACHNER BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1831118355 . This is a "MARCIA K. SCHACHNER NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1043239668 . This is a "STEPHEN P. SCHACHNER NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1834957 . This is a "SAMUEL K. SCHACHNER BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 630884 . This is a "HIGHMARK BCBS GROUP ID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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