FAMILY SERVICES OF NW PA NPI 1265482863

NPI Information

NPI: 1265482863
Provider Name: FAMILY SERVICES OF NW PA
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
5100 PEACH ST
ERIE, PA
ZIP 16509
Phone: (814) 866-4500
Get Directions

FAMILY SERVICES OF NW PA is a child and adolescent psychiatry psychiatry neurology in Erie, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. FAMILY SERVICES OF NW PA NPI is 1265482863. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5100 PEACH ST
ERIE, PA
ZIP 16509-482
Phone: (814) 866-4500
Fax: (814) 864-2677

The provider's authorized official is Steven Gresh .
The authorized official title is Cfo and has the following contact phone number (814) 866-4504.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103TB0200X	Psychologist	Cognitive & Behavioral	No
3	1041C0700X	Social Worker	Clinical	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BLUE SHIELD	OTHER	PENNSYLVANIA	631888
2	1007436350006	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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