Active NPI
Jan Warburton, PHD
- Psychologist
- Erie, PA
National Provider Identifier
1447363981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS015561
- Practice address
- 3939 W Ridge Rd
Erie, PA 16506-1879 - Phone
- (814) 449-1000
- Fax
- (814) 474-2890
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS015561 | PA | Primary |
Addresses
Primary practice location
3939 W Ridge Rd
Erie, PA 16506-1879
Mailing address
3939 W Ridge Rd
Erie, PA 16506-1879
Phone (814) 449-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA001703025 | Other | PA | BC/HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015561 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1447363981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 W RIDGE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165061879",
"telephone_number": "814-449-1000",
"fax_number": "814-474-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 W RIDGE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165061879",
"telephone_number": "814-449-1000",
"fax_number": "814-474-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARBURTON",
"first_name": "JAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS015561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/HIGHMARK",
"identifier": "WA001703025",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}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 Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.