UPMC CHAUTAUQUA AT WCA NPI 1386725182

NPI Information

  • NPI: 1386725182
  • Provider Name: UPMC CHAUTAUQUA AT WCA
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Former Legal Business Name: THE WOMAN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, N.Y.
  • CLIA Number: 33D0174000
  • Address: 207 FOOTE AVE
    JAMESTOWN, NY
    ZIP 14701
  • Phone: (716) 487-0141

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NPI Details

UPMC CHAUTAUQUA AT WCA is a psychiatry psychiatry neurology in Jamestown, NY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. UPMC CHAUTAUQUA AT WCA NPI is 1386725182. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is The Woman's Christian Association Of Jamestown, N.y..

The provider's business location address is:

207 FOOTE AVE
JAMESTOWN, NY
ZIP 14701-077
Phone: (716) 487-0141

The provider's authorized official is Bradley Nelson Dinger .
The authorized official title is Cfo and has the following contact phone number (814) 877-3739.

The CLIA number assigned to this NPI record is 33D0174000 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 1/27/2020.

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
12084P0800XPsychiatry & NeurologyPsychiatryYes
2273R00000XPsychiatric UnitNo
3276400000XRehabilitation, Substance Use Disorder UnitNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103169151MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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