BODHI RECOVERY INC NPI 1194246371

NPI Information

  • NPI: 1194246371
  • Provider Name: BODHI RECOVERY INC
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 21 YOST BLVD
    COST COMMONS #5 SUITE 301
    PITTSBURGH, PA
    ZIP 15221
  • Phone: (412) 735-9197

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NPI Details

BODHI RECOVERY INC is an addiction medicine psychiatry neurology in Pittsburgh, PA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine BODHI RECOVERY INC NPI is 1194246371. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 YOST BLVD
COST COMMONS #5 SUITE 301
PITTSBURGH, PA
ZIP 15221-283
Phone: (412) 735-9197
Fax: (412) 291-2765

The provider's authorized official is Carole Gene Stern .
The authorized official title is Ceo/president and has the following contact phone number (724) 322-2229.

The enumeration date for this NPI number is 6/28/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
22084A0401XPsychiatry & NeurologyAddiction MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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