| Persad Center, Inc. | |
|
5301 Butler St Suite 100 Pittsburgh PA 15201-2656 | |
| (412) 441-9786 | |
| (412) 408-3720 |
| Full Name | Persad Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5301 Butler St, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Derek Barnes (BILLING MANAGER) |
| Authorized Official Contact | 4124419786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Persad Center, Inc. 5301 Butler St Suite 100 Pittsburgh PA 15201-2656 Ph: (412) 441-9786 | Persad Center, Inc. 5301 Butler St Suite 100 Pittsburgh PA 15201-2656 Ph: (412) 441-9786 |
| NPI Number | 1215003447 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 4183521065 |
|---|---|
| Medicare Enrollment ID | O20031218000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215003447 | NPI | - | NPPES |
| 100777947 | Medicaid | PA | |
| 632330 | Other | PA | HIGHMARK |
| Provider Name | Alan Jan Reis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245214329 PECOS PAC ID: 5698772143 Enrollment ID: I20061026000234 |
| Provider Name | Wesley Eugene Sowers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114996063 PECOS PAC ID: 1658470919 Enrollment ID: I20070627000290 |
| Provider Name | Andrew R Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245314517 PECOS PAC ID: 0547152233 Enrollment ID: I20150205000406 |
| Provider Name | Kimberly S Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326365354 PECOS PAC ID: 9234392135 Enrollment ID: I20170411000633 |
| Provider Name | Brittany Davenport Ashcraft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164801528 PECOS PAC ID: 2668734583 Enrollment ID: I20180313000429 |
| Provider Name | Heather Rachel Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942792643 PECOS PAC ID: 7810227709 Enrollment ID: I20190918003227 |
| Provider Name | Keith M Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235621434 PECOS PAC ID: 4284051715 Enrollment ID: I20200831000054 |
| Provider Name | Lori A Fell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992173926 PECOS PAC ID: 4789908666 Enrollment ID: I20210416000936 |
| Provider Name | Joshua Samuel Jonassaint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922592591 PECOS PAC ID: 5092175117 Enrollment ID: I20230720001072 |
| Provider Name | Carrie Trunick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649985847 PECOS PAC ID: 8123476942 Enrollment ID: I20231204003006 |
| Provider Name | Anne Marie Frick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255997185 PECOS PAC ID: 1254776396 Enrollment ID: I20240228004629 |
| Provider Name | Kathleen Suzanne Mcgrath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699264218 PECOS PAC ID: 0547605412 Enrollment ID: I20240301000506 |
| Provider Name | Bethany Ann Getgen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821556853 PECOS PAC ID: 0446698245 Enrollment ID: I20240328003613 |
| Provider Name | Elizabeth Birungi Mcbride |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871082495 PECOS PAC ID: 1951740430 Enrollment ID: I20240417000028 |
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