Organization Active NPI

Mental Health Association of Northwestern PA

  • Voluntary or Charitable Agency
  • Erie, PA
National Provider Identifier
1619105350
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on Jul 1, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102267020OtherPAPROMISE ID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.