Provider Demographics
NPI:1679536221
Name:ASSOCIATES IN CLINICAL PSYCHIATRY PC
Entity type:Organization
Organization Name:ASSOCIATES IN CLINICAL PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-347-0170
Mailing Address - Street 1:110 FORT COUCH RD
Mailing Address - Street 2:SUITE G200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1030
Mailing Address - Country:US
Mailing Address - Phone:412-347-0170
Mailing Address - Fax:412-347-0174
Practice Address - Street 1:110 FORT COUCH RD
Practice Address - Street 2:SUITE G200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1030
Practice Address - Country:US
Practice Address - Phone:412-347-0170
Practice Address - Fax:412-347-0174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 103TC0700X, 1041C0700X, 2084P0800X
PASW130203104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018631070004Medicaid
PA1381224OtherHIGHMARK BCBS
PA1330492OtherHIGHMARK BCBS
PA1821635OtherHIGHMARK BC/BS
PA1330474OtherHIGHMARK BCBS
PA0018631070004Medicaid