OrganizationActive
C Michaela Jacks LLC
NPI 1144718172 · Mental Health Clinic/Center (Including Community Mental Health Center) · Pittsburgh, PA
Provider details
- NPI number
- 1144718172
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Crystal Jacks, Sole Member(412) 213-8425
- License
- MF000999 (PA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense MF000999 (PA)
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1789 S Braddock Ave Ste 350
Pittsburgh, PA 15218-1871
Phone: (412) 213-8425
Approximate (ZIP-level) locationGet directions
Mailing address
1789 S Braddock Ave Ste 350
Pittsburgh, PA 15218-1871
Registry dates
- Enumerated
- 2018-04-25
- Last updated
- 2018-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.