Active NPI
Mental Health Association of Northwestern PA
- Voluntary or Charitable Agency
- Erie, PA
National Provider Identifier
1619105350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- MENTAL HEALTH ASSOCIATION OF NORTHWESTERN PA
- Practice address
- 1101 Peach St
Erie, PA 16501-1839 - Phone
- (814) 465-4462
- Fax
- (814) 459-8833
- NPI assigned
- Jul 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Luann Gossett
- Title
- Administrative Assistant
- Phone
- (814) 465-4462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
1101 Peach St
Erie, PA 16501-1839
Mailing address
1101 Peach St
Erie, PA 16501-1839
Phone (814) 465-4462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102267020 | Other | PA | PROMISE ID |
National Provider Directory
National Provider DirectoryLocations
1101 Peach St
Erie, PA 16501
Phone (814) 465-4462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246406400000",
"number": "1619105350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165011839",
"telephone_number": "814-465-4462",
"fax_number": "814-459-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165011839",
"telephone_number": "814-465-4462",
"fax_number": "814-459-8833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH ASSOCIATION OF NORTHWESTERN PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A",
"authorized_official_last_name": "GOSSETT",
"authorized_official_first_name": "LUANN",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "814-465-4462",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROMISE ID",
"identifier": "102267020",
"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 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.