| Sewickley Valley Hospital, Staunton Clinic | |
|
Edgeworth Square 111 Hazel Lane Sewickley PA 15143-1253 | |
| (412) 749-7652 | |
| Not Available |
| Full Name | Sewickley Valley Hospital, Staunton Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | Edgeworth Square, Sewickley, Pennsylvania |
| Authorized Official Name and Position | Robert M Rosenberger (VICE PRESIDENT/CFO) |
| Authorized Official Contact | 7247734730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sewickley Valley Hospital, Staunton Clinic Edgeworth Square 111 Hazel Lane Sewickley PA 15143-1253 Ph: () - | Sewickley Valley Hospital, Staunton Clinic Edgeworth Square 111 Hazel Lane Sewickley PA 15143-1253 Ph: (412) 749-7652 |
| NPI Number | 1528101458 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Medicare PECOS PAC ID | 8325956592 |
|---|---|
| Medicare Enrollment ID | O20040301000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528101458 | NPI | - | NPPES |
| 1000033550170 | Medicaid | PA | |
| 0924 | Other | PA | HIGHMARK BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 940070 (Pennsylvania) | Primary |
| Provider Name | Michael E Moyeroff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780692764 PECOS PAC ID: 6608860531 Enrollment ID: I20040413000706 |
| Provider Name | Lubna Bukhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619946399 PECOS PAC ID: 4385604065 Enrollment ID: I20041018000062 |
| Provider Name | Apolonia Sinu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053426205 PECOS PAC ID: 9133191869 Enrollment ID: I20041026000456 |
| Provider Name | Jeffrey Zirwas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780784553 PECOS PAC ID: 8820003478 Enrollment ID: I20060217000479 |
| Provider Name | Edward C Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962471409 PECOS PAC ID: 3476652611 Enrollment ID: I20070628000300 |
| Provider Name | Carmen Andreescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306965090 PECOS PAC ID: 0547358830 Enrollment ID: I20071120000621 |
| Provider Name | Phillip C.f. Dias-mandoly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326152125 PECOS PAC ID: 3971797010 Enrollment ID: I20101102000918 |
| Provider Name | Maher O Ayyash |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467424887 PECOS PAC ID: 1052506409 Enrollment ID: I20101110001150 |
| Provider Name | Amit Neog |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669629762 PECOS PAC ID: 6709032428 Enrollment ID: I20120813000683 |
| Provider Name | Brent S Harlan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215080361 PECOS PAC ID: 0042435620 Enrollment ID: I20150914001820 |
| Provider Name | Paul David Maniago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871961607 PECOS PAC ID: 7315257995 Enrollment ID: I20151111001072 |
| Provider Name | Umang A Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376707810 PECOS PAC ID: 2466639224 Enrollment ID: I20160519002102 |
| Provider Name | Saif-uddin M Mohsin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457508145 PECOS PAC ID: 9335397181 Enrollment ID: I20160629001960 |
| Provider Name | Rebecca Lynn Hartjen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477941748 PECOS PAC ID: 0446539621 Enrollment ID: I20161110000891 |
| Provider Name | Gina M Perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477576734 PECOS PAC ID: 1951298587 Enrollment ID: I20170719000649 |
| Provider Name | Sheena Dohar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144618414 PECOS PAC ID: 9234432667 Enrollment ID: I20190220002540 |
| Provider Name | Vicki L Surgenavic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679154736 PECOS PAC ID: 1153720032 Enrollment ID: I20210526000275 |
| Provider Name | Alyssa Michelle Wichansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407455769 PECOS PAC ID: 6103226147 Enrollment ID: I20210614002360 |
| Provider Name | Bruce K Miewald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467528984 PECOS PAC ID: 3274616933 Enrollment ID: I20220126000066 |
| Provider Name | Stacey L Wurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760089221 PECOS PAC ID: 7618332313 Enrollment ID: I20230503000147 |
| Provider Name | Erik P Kins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225777139 PECOS PAC ID: 8325405301 Enrollment ID: I20230607000025 |
| Provider Name | David Simons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376298414 PECOS PAC ID: 0749630564 Enrollment ID: I20231220000741 |
| Provider Name | Brian Smithley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861541559 PECOS PAC ID: 9537510532 Enrollment ID: I20240103003605 |
| Provider Name | Candace L Toubo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902347990 PECOS PAC ID: 5890146161 Enrollment ID: I20240111000417 |
| Provider Name | Tara Mcgee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679062095 PECOS PAC ID: 6507218377 Enrollment ID: I20240117001770 |
| Provider Name | Elisha Ariel Kronheim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013648781 PECOS PAC ID: 5496191611 Enrollment ID: I20240311002294 |
| Provider Name | Deni J Vasilatos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467840728 PECOS PAC ID: 8426495557 Enrollment ID: I20240325001161 |
Elevated Mindset Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Railroad Ave, Sewickley, PA 15143 Phone: 412-452-7443 | |
Re-centered Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Beaver St, Suite #104, Sewickley, PA 15143 Phone: 412-564-4788 Fax: 855-649-1932 | |
Samaritan Counseling Center Of Western Pa. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Grant St, Sewickley, PA 15143 Phone: 412-741-7430 Fax: 412-741-5171 | |
Viola Clinical Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 Sturbridge Dr, Sewickley, PA 15143 Phone: 412-314-4890 | |
The Watson Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Campmeeting Rd, Sewickley, PA 15143 Phone: 412-749-2879 Fax: 412-741-1958 | |
Greater Pittsburgh Behavioral Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 Ohio River Blvd, Sewickley, PA 15143 Phone: 412-335-3774 | |
New Directions Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2607 Nicholson Rd, Suite 2100, Building 2, Sewickley, PA 15143 Phone: 724-934-3905 Fax: 724-934-3906 |