| Stress Management Center Of America | |
|
2987 W Liberty Ave Pittsburgh PA 15216-2544 | |
| (412) 344-3010 | |
| Not Available |
| Full Name | Stress Management Center Of America |
|---|---|
| Speciality | Counselor |
| Location | 2987 W Liberty Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Fereydoon Daniel Radfar (PRESIDENT) |
| Authorized Official Contact | 4123444010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stress Management Center Of America 2987 W Liberty Ave Pittsburgh PA 15216-2544 Ph: (412) 344-3010 | Stress Management Center Of America 2987 W Liberty Ave Pittsburgh PA 15216-2544 Ph: (412) 344-3010 |
| NPI Number | 1932376084 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 4183869787 |
|---|---|
| Medicare Enrollment ID | O20130403000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932376084 | NPI | - | NPPES |
| 276351 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deborah V Gershanok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053415059 PECOS PAC ID: 7618984733 Enrollment ID: I20060320000254 |
| Provider Name | Fereydoon Daniel Radfar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154435758 PECOS PAC ID: 7719160654 Enrollment ID: I20110330000420 |
| Provider Name | Avis W Moorehead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972775914 PECOS PAC ID: 8426357898 Enrollment ID: I20160506000595 |
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