CORNELL ABRAXAS GROUP INC (NPI# 1710039227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710039227 |
| Entity Type | Organization |
| Organization Name | CORNELL ABRAXAS GROUP INC |
| Other Organization Name | CORNELL ABRAXAS II |
| Practice Address |
502 W 6th St Erie PA 16507-1129 |
| Practice Telephone | 8144590618 |
| Practice Fax Number | 8144590682 |
| Mailing Telephone | 8144590618 |
| Mailing Fax Number | 8144590682 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JIM SCHIEBERL (CONSULTING PSYCHOLOGIST) |
| Authorized Official Telephone | 8144590618 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
454310 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RESIDENTIAL TREATMENT | 1000302 | 01 |
| Other Name | Type Code |
|---|---|
| Cornell Abraxas II | 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 |
| 1649322157 | Cornell Abraxas Group Inc | Psychiatric Residential Treatment Facility | 437 W 6th St, Erie, PA 16507-1215 | 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 |
502 W 6TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1129 |
| 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 | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576812 | Acollective Consulting LLC | Substance Abuse Rehabilitation Facility | 710 Sproul St, Chester, PA 19013-4209 | 2017-02-03 |
| 1164897658 | Solution House, Inc | Substance Abuse Rehabilitation Facility | 4143 Paul St, Philadelphia, PA 19124-4607 | 2015-12-09 |
| 1811255888 | People R Us Community Resdential Services | Substance Abuse Rehabilitation Facility | 2101 W Tioga St, 2103 West Tioga Street, Philadelphia, PA 19140-3922 | 2012-04-27 |
| 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 |
| 1285783332 | Community Service Foundation, Inc. | Substance Abuse Rehabilitation Facility | 252 W Swamp Rd, Doylestown, PA 18901-2422 | 2007-01-09 |
Please comment or provide details below to improve the information on CORNELL ABRAXAS GROUP INC.
| 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.