| B/g Behavioral Health Services Pc | |
|
1910 Cochran Rd One Manor Oak, Suite 600 Pittsburgh PA 15220-1203 | |
| (412) 563-8800 | |
| (412) 563-8319 |
| Full Name | B/g Behavioral Health Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1910 Cochran Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | John Guterson (PRESIDENT) |
| Authorized Official Contact | 4124216770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B/g Behavioral Health Services Pc 2345 Murray Ave Suite 200 Pittsburgh PA 15217-2352 Ph: (412) 421-6770 | B/g Behavioral Health Services Pc 1910 Cochran Rd One Manor Oak, Suite 600 Pittsburgh PA 15220-1203 Ph: (412) 563-8800 |
| NPI Number | 1124009519 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 06/18/2008 |
| Medicare PECOS PAC ID | 0042209447 |
|---|---|
| Medicare Enrollment ID | O20040511000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124009519 | NPI | - | NPPES |
| 0015469790007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | MD055893L (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD055893L (Pennsylvania) | Primary |
| Provider Name | John Guterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093744583 PECOS PAC ID: 4880683283 Enrollment ID: I20150915000412 |
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