| Collaborative Psychiatric Services | |
|
4900 Perry Hwy Ste 1 Pittsburgh PA 15229-2236 | |
| (412) 366-0416 | |
| Not Available |
| Full Name | Collaborative Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4900 Perry Hwy Ste 1, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Timothy Mitzel (PHYSICIAN) |
| Authorized Official Contact | 4123075600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Psychiatric Services 4900 Perry Hwy Ste 1 Pittsburgh PA 15229-2236 Ph: (412) 307-5600 | Collaborative Psychiatric Services 4900 Perry Hwy Ste 1 Pittsburgh PA 15229-2236 Ph: (412) 366-0416 |
| NPI Number | 1922574177 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 07/05/2019 |
| Medicare PECOS PAC ID | 9830434885 |
|---|---|
| Medicare Enrollment ID | O20181219000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922574177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mary M Brilmyer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255338935 PECOS PAC ID: 0648168377 Enrollment ID: I20040305000298 |
| Provider Name | Timothy S Mitzel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285656785 PECOS PAC ID: 9537148861 Enrollment ID: I20100913000623 |
| Provider Name | June Ganley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417954363 PECOS PAC ID: 6709054448 Enrollment ID: I20110722000450 |
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