Stairways Behavioral Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

405900 Issued in PA

Legal business name

STAIRWAYS BEHAVIORAL HEALTH

Practice address

115 W Spring St
Titusville, PA 16354-1763

Phone

(814) 827-2790

NPI assigned

Apr 2, 2007

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Kirkwood

Title

Cfo

Phone

(814) 453-5806

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Stairways Behavioral Health

  • Clinic/Center
  • Erie, PA
  • NPI 1003854241

  O20040301000720

  Same enrollment
• Stairways Behavioral Health

  • Clinic/Center
  • Meadville, PA
  • NPI 1891815429

  O20040301000720

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Deerfield Behavioral Health of Warren, LLC

  • Psychiatry Physician
  • Warren, PA
  • NPI 1134158314

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1427178334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041049",
            "telephone_number": "814-453-5806",
            "fax_number": "814-453-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SPRING ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541763",
            "telephone_number": "814-827-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAIRWAYS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-453-5806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "405900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "405900",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "405900",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "405900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000063480018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elaine Shreffler
• John Patrick Slater, PHARMD, BCPS
• Sloandale Enterprises (The Medicine Shoppe Pharmacy)
• Eugene A Snyder Jr., PA
• William Robert Sonnenberg, MD
• Krista L Stearns, LPC
• Samantha Steffy
• Ellen Margaret Stover, PT
• Courtney Sue Taggart, D.P.T.
• Saeed Tarokh, MD

• Clinic/Center in Titusville, PA
• Providers in Titusville, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.