HARBORCREEK YOUTH SERVICES (NPI# 1386765923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386765923 |
| Entity Type | Organization |
| Organization Name | HARBORCREEK YOUTH SERVICES |
| Practice Address |
3120 Peach St Mccormick House Erie PA 16508-2734 |
| Mailing Address |
5712 Iroquois Ave Harborcreek PA 16421-1009 |
| Practice Telephone | 8144592212 |
| Practice Fax Number | 8148743492 |
| Mailing Telephone | 8148997664 |
| Mailing Fax Number | 8148993075 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN D. PETULLA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8148997664 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 433390 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001410380 0016 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518088160 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 1052 W 26th St, West 26th Street House, Erie, PA 16508-1516 | 2007-04-02 |
| 1851412480 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 8171 Edinboro Rd, Erie, PA 16509-4468 | 2007-04-02 |
| 1033230677 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Avenue, Liberty House, Harborcreek, PA 16421-1009 | 2007-04-02 |
| 1740287622 | Harborcreek Youth Services | Community/Behavioral Health | 5712 Iroquois Ave, Mst Program, Harborcreek, PA 16421-1009 | 2005-07-07 |
| 1508019886 | Harborcreek Youth Services | Foster Care Agency | 5712 Iroquois Ave, Harborcreek, PA 16421-1009 | 2008-10-30 |
| 1033232806 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, St. Joseph's House, Harborcreek, PA 16421-1009 | 2007-04-09 |
| 1235250432 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Conway House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1033230230 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Hastings House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1942321146 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Wagner House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1750402954 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Columbus House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| Street Address |
3120 PEACH ST MCCORMICK HOUSE |
| City | ERIE |
| State | PA |
| Zip Code | 16508-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1518088160 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 1052 W 26th St, West 26th Street House, Erie, PA 16508-1516 | 2007-04-02 |
| 1851412480 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 8171 Edinboro Rd, Erie, PA 16509-4468 | 2007-04-02 |
| 1649322157 | Cornell Abraxas Group Inc | Psychiatric Residential Treatment Facility | 437 W 6th St, Erie, PA 16507-1215 | 2007-01-17 |
| 1275684060 | Cornell Abraxas Group Inc. | Psychiatric Residential Treatment Facility | 429 W 6th St, Erie, PA 16507-1215 | 2007-01-16 |
| 1942271440 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 132 West 26th Street, Perseus House Enhanced Rtf, Erie, PA 16508-1804 | 2006-02-01 |
| 1285810796 | Perseus House Inc. | Psychiatric Residential Treatment Facility | 1511 Peach St, Erie, PA 16501-2104 | 2008-01-15 |
| 1669593869 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 138 W 25th St, Sr. Louis House, Erie, PA 16502-2811 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| 1265754923 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 110 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| 1619299377 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 120 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HARBORCREEK YOUTH SERVICES.
| 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.