Provider Demographics
NPI:1962126763
Name:MANIFEST PSYCHIATRY PLLC
Entity type:Organization
Organization Name:MANIFEST PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNESHA
Authorized Official - Middle Name:V
Authorized Official - Last Name:SLIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-668-1924
Mailing Address - Street 1:2275 SWALLOW HILL RD STE 800
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1671
Mailing Address - Country:US
Mailing Address - Phone:412-668-1924
Mailing Address - Fax:412-207-3117
Practice Address - Street 1:2275 SWALLOW HILL RD STE 800
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1671
Practice Address - Country:US
Practice Address - Phone:412-668-1924
Practice Address - Fax:412-207-3117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty