CORNELL ABRAXAS GROUP INC (NPI# 1649322157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649322157 |
| Entity Type | Organization |
| Organization Name | CORNELL ABRAXAS GROUP INC |
| Other Organization Name | CORNELL ABRAXAS ERMH |
| Practice Address |
437 W 6th St Erie PA 16507-1215 |
| Practice Telephone | 8144590618 |
| Practice Fax Number | 8144590682 |
| Mailing Telephone | 8144590618 |
| Mailing Fax Number | 8144590682 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | DR. BARON DENNISTON (CONSULTING PSYCHIATRIST) |
| Authorized Official Telephone | 8144590618 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 405190 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007472500001 | 05 |
| Other Name | Type Code |
|---|---|
| Cornell Abraxas ERMH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871636084 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 306 Penn Ave, Pittsburgh, PA 15221-2134 | 2007-02-15 |
| 1790828978 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 437 Turrett St, Pittsburgh, PA 15206-3370 | 2007-02-15 |
| 1972645893 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | North Forest Steet, Marienville, PA 16239 | 2007-02-14 |
| 1710039227 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | 502 W 6th St, Erie, PA 16507-1129 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cornell Abraxas Group Inc. | 15720 Brixham Hill Avenue #300, Charlotte, NC 28277 |
| Street Address |
437 W 6TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| 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 |
| 1386765923 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 3120 Peach St, Mccormick House, Erie, PA 16508-2734 | 2007-04-02 |
| 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 |
| 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 |
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|---|---|---|---|---|
| 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 |
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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.