NPIMap

Organization Active NPI

Safe Harbor Behavioral Health of Upmc Hamot

  • Community/Behavioral Health Agency
  • Erie, PA
National Provider Identifier
1518168368
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT
Practice address
1330 W 26TH St
Erie, PA 16508-1402
Phone
(814) 459-9300
NPI assigned
May 30, 2007
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Mandy FaubleNPI 1134100258
Title
Director of Clinical Care Services
Phone
(814) 451-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1330 W 26TH St
Erie, PA 16508-1402

Mailing address

1330 W 26TH St
Erie, PA 16508-1402

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SafeHarbor@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000519 PA Part B Supplier - Clinic/Group Practice 6305743154 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edinboro, PA; Erie, PA; Fairview, PA; Franklin, PA; North East, PA; Waterford, PA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Safe Harbor Behavioral Health of Upmc Hamot6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 1

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

  • Northwest Beacon Group LLC

    dba Center for Personal and Family Growth

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Erie, PA
    • NPI 1689695868

    Member Of

    NPD member

Locations

118 E 2nd St
Rm W1082
Erie, PA 16507
Phone (814) 459-9300

2564 W 12th St
Erie, PA 16505
Phone (814) 451-2282

2564 W 12th St
Ste 200
Erie, PA 16505

300 State St
Ste 400A
Erie, PA 16507
Phone (814) 454-8287

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1518168368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081402"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "FAUBLE",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL CARE SERVICES",
        "authorized_official_telephone_number": "814-451-2225"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SafeHarbor@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 6, 2021; 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.