Organization Active NPI

Saint Vincent Medical Educationand Reseach Institute Inc

Doing business as Saint Vincent Behavioral Services-LMFT

  • Marriage & Family Therapist
  • Erie, PA
National Provider Identifier
1760715395
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SAINT VINCENT MEDICAL EDUCATIONAND RESEACH INSTITUTE INC
Doing business as
Saint Vincent Behavioral Services-LMFT
Practice address
1910 Sassafras St
Suite 100
Erie, PA 16502-2716
Phone
(814) 452-5490
Fax
(814) 452-7610
NPI assigned
Sep 15, 2009
Organization subpart
Yes
Parent organization
SAINT VINCENT HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Patty Ballman
Title
Director of Operations
Phone
(814) 452-5296

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1910 Sassafras St
Suite 100
Erie, PA 16502-2716

Mailing address

3530 Peach St
Suite LL1
Erie, PA 16508-2768
Phone (814) 860-5000

Other names 1

  • Saint Vincent Behavioral Services-LMFT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Vincent Medical E79 organizations share this tax ID, including this one
Part of
Cardio St Vincent HLTH

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1760715395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 PEACH ST",
            "address_2": "SUITE LL1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082768",
            "telephone_number": "814-860-5000",
            "fax_number": "814-860-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SASSAFRAS ST",
            "address_2": "SUITE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022716",
            "telephone_number": "814-452-5490",
            "fax_number": "814-452-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT MEDICAL EDUCATIONAND RESEACH INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT VINCENT HEALTH SYSTEM",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "BALLMAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "814-452-5296"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Vincent Behavioral Services-LMFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 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.