GAUDENZIA ERIE INC. (NPI# 1922180652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922180652 |
| Entity Type | Organization |
| Organization Name | GAUDENZIA ERIE INC. |
| Practice Address |
414 W 5th St Erie PA 16507-1214 |
| Mailing Address |
2005 W 8th St Suite 202 Erie PA 16505-4759 |
| Practice Telephone | 8144594775 |
| Practice Fax Number | 8144536118 |
| Mailing Telephone | 8142406153 |
| Mailing Fax Number | 8146166335 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | MR. DAVID BROOKS (DIVISION DIRECTOR) |
| Authorized Official Telephone | 8142403278 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 251086 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 257046 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 257048 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 257079 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 257080 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 257081 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 257082 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 257083 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 437029 | PA | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 60054 | 01 |
| PA | 0018923880001 | 05 | |
| PA | UPMC | VO543B | 01 |
| PA | BLUE CROSS BLUE SHEILD | 0815 | 01 |
| PA | 1018307530003 | 05 | |
| PA | CCBHO | 0018923880001 | 01 |
| PA | VALUE OPTIONS | 459802 | 01 |
| Street Address |
414 W 5TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1214 |
| 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 | 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 |
| 1255480174 | Perseus House, Inc | Community/Behavioral Health | 1510 State St, Erie, PA 16501-2220 | 2007-01-09 |
| 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 |
| 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.