PERSEUS HOUSE, INC (NPI# 1255480174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255480174 |
| Entity Type | Organization |
| Organization Name | PERSEUS HOUSE, INC |
| Practice Address |
1510 State St Erie PA 16501-2220 |
| Mailing Address |
1511 Peach St Erie PA 16501-2104 |
| Practice Telephone | 8144805905 |
| Practice Fax Number | 8144564229 |
| Mailing Telephone | 8144805911 |
| Mailing Fax Number | 8144548670 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | MARK AMENDOLA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8144805956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 407390 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 407390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1942271440 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 132 West 26th Street, Perseus House Enhanced Rtf, Erie, PA 16508-1804 | 2006-02-01 |
| Street Address |
1510 STATE ST |
| City | ERIE |
| State | PA |
| Zip Code | 16501-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558528786 | Rebecca Lee Rolph | Dietitian, Registered | 1510 State St, Perseus House, Erie, PA 16501-2220 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496872 | Maureen Grady | Physician Assistant | 240 West 11th Street, Suite 2, Erie, PA 16501 | 2019-09-17 |
| 1093291023 | Passavant Development Corporation | Pharmacy | 1611 Peach St Ste 400, Erie, PA 16501 | 2018-07-12 |
| 1073043675 | Stephanie Owens | Specialist/Technologist | 211 West 8th Street, Erie, PA 16501 | 2017-06-15 |
| 1114335130 | Julia Campbell | Occupational Therapist | 207 W. 11th. St., Suite 402, Erie, PA 16501 | 2014-07-23 |
| 1669766481 | Seth David Fox | Ophthalmology | 128 West 12 St, Ste 200, Erie, PA 16501 | 2011-06-09 |
| 1336438910 | Maryna Petrasheuskaya | Dentist | 1611 State Street, 465, Erie, PA 16501 | 2011-04-04 |
| 1891092565 | Amber Leann Allshouse | Counselor | 1602 State St Ste 390, Erie, PA 16501 | 2011-02-16 |
| 1225331986 | Jennifer Marie Kuzmin | Counselor | 1001 State St Ste 1409, Erie, PA 16501 | 2010-12-17 |
| 1093026510 | Community Health Net | Pharmacy | Daniel S. Snow M.d. Health Center, 1202 State Street, Erie, PA 16501 | 2010-06-30 |
| 1467634113 | Chester Francis Battersby Sr. | Chiropractor | 265 West 10th St, Erie, PA 16501 | 2007-12-04 |
| Find all providers in zip 16501 | ||||
| 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 |
| 1194094169 | Gannondale | Community/Behavioral Health | 4635 E Lake Rd, Erie, PA 16511-1410 | 2011-12-21 |
| 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 |
| 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.