NPIMap

Organization Active NPI

Perseus House, Inc

Doing business as Boys Intensive RTF

  • Psychiatric Residential Treatment Facility
  • Erie, PA
National Provider Identifier
1144888272
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PERSEUS HOUSE, INC
Doing business as
Boys Intensive RTF
Practice address
516 W 7TH St
Erie, PA 16502-1333
Phone
(814) 453-6389
Fax
(814) 879-0801
NPI assigned
Jun 4, 2019
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Corina Sutton
Title
Accounting Clerk
Phone
(814) 480-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

516 W 7TH St
Erie, PA 16502-1333

Mailing address

1511 Peach St
Erie, PA 16501-2104
Phone (814) 480-5911

Other identifiers 1

IdentifierTypeStateIssuer
100771390MedicaidPA

Other names 2

  • BOYS INTENSIVE RTF Doing business as
  • Perseus House West 7th Street RTF Other name

National Provider Directory

National Provider Directory
Tax ID family
Perseus House Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1144888272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012104",
            "telephone_number": "814-480-5911",
            "fax_number": "814-454-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 7TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "814-453-6389",
            "fax_number": "814-879-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSEUS HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "ACCOUNTING CLERK",
        "authorized_official_telephone_number": "814-480-5911",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771390",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYS INTENSIVE RTF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perseus House West 7th Street RTF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.