Erie Psychiatric Associates, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ERIE PSYCHIATRIC ASSOCIATES, LLC

Practice address

300 State St
Suite 208
Erie, PA 16507-1427

Phone

(814) 823-5640

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Ronald Dejohn, M.D.

Title

Member

Phone

(814) 823-5640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1578710554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 208",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-823-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 208",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-823-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "DEJOHN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "814-823-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erie Physicians Network, PC
• Erie Retina Research LLC
• Erie Retinal Surgery, Inc.
• Erie School District
• Erie Sleep & Wellness Center, LLC
• Erie Sleep Management LLC

• Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.