NPIMap

Organization Active NPI

Center for Focused Care.

  • Psychiatry Physician
  • Erie, PA
National Provider Identifier
1770070096
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER FOR FOCUSED CARE.
Practice address
3250 W. Lake Rd
Suite 2
Erie, PA 16505-3691
Phone
(814) 790-4567
Fax
(814) 295-4074
NPI assigned
Apr 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Matthew W Sipple, DO.
Title
Medical Director
Phone
(814) 790-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3250 W. Lake Rd
Suite 2
Erie, PA 16505-3691

Mailing address

3250 W. Lake Rd
Suite 2
Erie, PA 16505-3691
Phone (814) 790-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180711002516 PA Part B Supplier - Clinic/Group Practice 8921354531 Receives reassigned benefits from 11 practitioners
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

4506 Miller Ave
Erie, PA 16509
Phone (814) 454-1085

3250 W Lake Rd
Ste 2
Erie, PA 16505
Phone (814) 790-4567

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1770070096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W. LAKE RD",
            "address_2": "SUITE 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-790-4567",
            "fax_number": "814-295-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W. LAKE RD",
            "address_2": "SUITE 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-790-4567",
            "fax_number": "814-295-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FOCUSED CARE.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "SIPPLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-790-4567",
        "authorized_official_credential": "DO."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.