PRESQUE ISLE MIND-BODY WELLNESS CENTER, PLLC (NPI# 1467096164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467096164 |
| Entity Type | Organization |
| Organization Name | PRESQUE ISLE MIND-BODY WELLNESS CENTER, PLLC |
| Practice Address |
2500 Palermo Dr Erie PA 16506-7206 |
| Practice Telephone | 8148603179 |
| Practice Fax Number | 8146167400 |
| Mailing Telephone | 8148603179 |
| Mailing Fax Number | 8146167400 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | SARAH BICKEL (MANAGER) |
| Authorized Official Telephone | 8148603179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
Nursing Service Providers |
| Street Address |
2500 PALERMO DR |
| City | ERIE |
| State | PA |
| Zip Code | 16506-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275831000 | Sarah Lynn Bickel | Counselor | 2500 Palermo Dr, Erie, PA 16506-7206 | 2011-03-02 |
| 1326657297 | Joshua Daniel Neal | Nurse Practitioner | 2500 Palermo Dr, Erie, PA 16506-7206 | 2020-07-27 |
| 1043606585 | Sarah Bickel | Counselor | 2500 Palermo Dr, Erie, PA 16506-7206 | 2015-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417975137 | Karen L Woodard | Registered Nurse | 135 E 38th St, Behavioral Health Clinic, Erie, PA 16504-1559 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063434 | Gina Miller | Registered Nurse | 1041 W Bridge St Ste B-5, Phoenixville, PA 19460-4342 | 2019-10-08 |
| 1669034336 | Jonathan Breen | Registered Nurse | 207 Northbrook Dr, Media, PA 19063-5124 | 2019-07-02 |
| 1003398058 | Carolyn Gayle Wachtel | Registered Nurse | 100 N. Bellefield Avenue, Pittsburgh, PA 15213 | 2018-09-05 |
| 1255841524 | Alice Wagner | Registered Nurse | 2900 Plank Rd Ste 9, Altoona, PA 16601-9361 | 2017-10-02 |
| 1912427527 | Rachel Monica Reis | Registered Nurse | 255 S 17th St Ste 2304, Philadelphia, PA 19103-6223 | 2017-06-24 |
| 1003342197 | Eric John Kutay | Registered Nurse | 4531 Northway Rd, Williamsport, PA 17701-8494 | 2017-05-10 |
| 1902154503 | Patricia Grochowina Allen | Registered Nurse | 221 Polo Dr, North Wales, PA 19454-4245 | 2012-08-29 |
| 1144506205 | Lisa Ann Blyth | Registered Nurse | 1080 Wyndsong Dr, York, PA 17403-4492 | 2011-11-02 |
| 1669772513 | Jusufu Sulaiman Gottor | Registered Nurse | Broad and Vine Street, 11th Floor, Philadelphia, PA 19102 | 2010-10-26 |
| 1912160938 | Vicki Lynn Embley | Registered Nurse | 1120 Frances Ave, Lancaster, PA 17601-4563 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
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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.