Active NPI
Mary Anne Albaugh, MD
- Psychiatry Physician
- Erie, PA
National Provider Identifier
1487625513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD039574L
- Practice address
- 1330 W 26TH St
Erie, PA 16508-1402 - Phone
- (814) 459-9300
- Fax
- (814) 454-7780
- NPI assigned
- Jan 27, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD039574L | PA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD039574L | PA |
Addresses
Primary practice location
1330 W 26TH St
Erie, PA 16508-1402
Mailing address
2808 State St
Erie, PA 16508-1830
Phone (814) 456-2457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042391 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Center for Treatment and Education | Current | Accepting new patients | |
| Childrens Center for Treatment and Education | Current | Accepting new patients | |
| Presque Isle Psychiatric Associates | Psychiatry | Past | Accepting new patients |
| Deerfield Behavioral Health, Inc. | Past | Accepting new patients |
Locations
23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beacon Light Behavioral Health System
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, PA
- NPI 1366609646
-
- Psychiatry Physician
- Warren, PA
- NPI 1134158314
-
dba Beacon Light Behavioral Health Systems
- Clinical Psychologist
- Bradford, PA
- NPI 1477626992
-
- Professional Counselor
- Erie, PA
- NPI 1518210699
-
- Psychiatry Physician
- Erie, PA
- NPI 1326242439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487625513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165081830",
"telephone_number": "814-456-2457",
"fax_number": "814-456-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165081402",
"telephone_number": "814-459-9300",
"fax_number": "814-454-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBAUGH",
"first_name": "MARY ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD039574L",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD039574L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042391",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.