Bay City Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS013457 Issued in PA

Legal business name

BAY CITY PSYCHIATRY

Practice address

4934 Peach St
Erie, PA 16509-2043

Phone

(814) 454-1085

Fax

(814) 240-3976

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mathew Sipple, D.O.NPI 1700958428

Title

Physician

Phone

(814) 454-1085

Specialties & licenses 1

Addresses

Tax ID family

Bay City Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bay City Psychiatry

  • Psychiatry Physician
  • Erie, PA
  • NPI 1588106447
  NPD tax ID

Practitioners 1

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.

• Mathew W Sipple, D.O.

  • Psychiatry Physician
  • Erie, PA
  • NPI 1700958428
  NPD (past) Authorized official

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1639559388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092043",
            "telephone_number": "814-454-1085",
            "fax_number": "814-240-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092043",
            "telephone_number": "814-454-1085",
            "fax_number": "814-240-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "SIPPLE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-454-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS013457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L Baxter Jr., MD
• Robert Louis Baxter, DDS
• Bay City Associates in Podiatry Inc
• Bay City Orthocare LLC
• Bay City Psychiatry
• Bay City Psychiatry, LLC
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Vincent Lee Bayer, D.C.

• 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 Jun 8, 2015; 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.