Provider Demographics
NPI:1215640107
Name:TENERAL PSYCHIATRY PLLC
Entity type:Organization
Organization Name:TENERAL PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-272-4132
Mailing Address - Street 1:9500 BROOKTREE RD STE 306
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9227
Mailing Address - Country:US
Mailing Address - Phone:724-272-4132
Mailing Address - Fax:
Practice Address - Street 1:9500 BROOKTREE RD STE 306
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9227
Practice Address - Country:US
Practice Address - Phone:724-272-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty