GANNONDALE (NPI# 1194094169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194094169 |
| Entity Type | Organization |
| Organization Name | GANNONDALE |
| Practice Address |
4635 E Lake Rd Erie PA 16511-1410 |
| Practice Telephone | 8148997659 |
| Mailing Telephone | 8148997659 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | NANCY ELAINE SABOL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8148997659 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
4635 E LAKE RD |
| City | ERIE |
| State | PA |
| Zip Code | 16511-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467701359 | Debbie Marie Marche | Licensed Practical Nurse | 852 Newton Ave, Erie, PA 16511 | 2012-09-06 |
| 1164781456 | Kevin D. Deuel | Licensed Practical Nurse | 755 Napier Ave.., Erie, PA 16511 | 2012-05-08 |
| 1104827617 | William Rudolph Phelps | Surgery | 101 Walten Point, Erie, PA 16511 | 2005-08-09 |
| 1700884632 | Jennifer Amy Kilgas | Physical Therapist | Trac Rehab East, 4403 Iroguois Ave, Erie, PA 16511 | 2005-07-13 |
| 1174910855 | Mary Rudolph | Counselor | 4190 E Lake Rd, Erie, PA 16511 | 2015-04-21 |
| 1891794699 | David Jon Markiewicz | Physical Therapist | Trac Rehab East, 4403 Iroquois Ave, Erie, PA 16511 | 2005-07-14 |
| 1699773523 | Karen Ann Zielinski | Physical Therapist | Trac Rehab East, 4403 Iroquois Ave, Erie, PA 16511 | 2005-07-13 |
| 1326151432 | East Lake Pharmacy Inc | Pharmacy | 1896 E Lake Rd, Erie, PA 16511-1072 | 2006-08-16 |
| 1497030142 | Barbara Anne Thompson | Registered Nurse | 402 Euclid Ave, Erie, PA 16511-1126 | 2011-10-13 |
| 1669821518 | Christopher Sedgwick | Pharmacist | 2684 Lakeside Dr, Erie, PA 16511-1252 | 2016-06-10 |
| Find all providers in zip 16511 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396804 | Erie Family Center | Community/Behavioral Health | 606 Raspberry St, Erie, PA 16502-1123 | 2020-04-28 |
| 1073049862 | Candice Aston | Community/Behavioral Health | 5760 Georgetown Dr, Erie, PA 16509-3139 | 2017-05-11 |
| 1689022055 | Serving People Lovingly Counseling Center, LLC | Community/Behavioral Health | 1001 State St Ste 1400, Erie, PA 16501-1834 | 2016-05-26 |
| 1720245517 | Stairways Behavioral Health | Community/Behavioral Health | 810 Walnut St, Erie, PA 16502-1371 | 2008-05-20 |
| 1104949320 | Crime Victim Center of Erie County, Inc. | Community/Behavioral Health | 125 W 18th St, Erie, PA 16501-2103 | 2007-04-10 |
| 1255480174 | Perseus House, Inc | Community/Behavioral Health | 1510 State St, Erie, PA 16501-2220 | 2007-01-09 |
| 1205902483 | Greater Erie Community Action Committee | Community/Behavioral Health | 27 W 8th St, Erie, PA 16501-1347 | 2006-11-28 |
| 1376177147 | Sarah A. Reed Children's Center | Community/Behavioral Health | 1611 Peach St, Erie, PA 16501-2109 | 2020-03-02 |
| 1083113799 | Greg Purchase LLC | Community/Behavioral Health | 2221 Peninsula Dr Ste 105, Erie, PA 16506-2954 | 2018-02-08 |
| 1073058038 | Craig Lewis Counseling, LLC | Community/Behavioral Health | 3850 Walker Blvd, Erie, PA 16509-1627 | 2016-12-30 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.