NPIMap

Organization Active NPI

Stairways Behavioral Health

  • Clinic/Center
  • Meadville, PA
National Provider Identifier
1609996990
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STAIRWAYS BEHAVIORAL HEALTH
Practice address
16332 Conneaut Lake Rd
Meadville, PA 16335-3843
Phone
(814) 337-8762
Fax
(814) 337-4462
NPI assigned
Mar 30, 2007
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

16332 Conneaut Lake Rd
Meadville, PA 16335-3843

Mailing address

138 E 26TH St
Erie, PA 16504-1049
Phone (814) 453-5806

Other identifiers 1

IdentifierTypeStateIssuer
1000063480025MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Stairways Behavioral He9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1609996990",
    "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": "16332 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353843",
            "telephone_number": "814-337-8762",
            "fax_number": "814-337-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAIRWAYS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000063480025",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.