Achievement Center of Lecom Health

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ACHIEVEMENT CENTER OF LECOM HEALTH

Practice address

4950 W 23Rd St
Suite 1
Erie, PA 16506-5802

Phone

(814) 616-0509

NPI assigned

Aug 26, 2013

Last updated

Dec 2, 2020By 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

Christine Richards

Title

Billing Supervisor

Phone

(814) 616-0509

Specialties & licenses 1

Addresses

Tax ID family

Achievement Center of Lecom Health2 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.

• Achievement Center of Lecom Health

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1124181953
  NPD tax ID

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1780018812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 W 23RD ST",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065802",
            "telephone_number": "814-616-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 W 23RD ST",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065802",
            "telephone_number": "814-616-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVEMENT CENTER OF LECOM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "814-616-0509"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Nastajja Abreu
• Hisham Abusamhadana, MD
• Sophia Ace
• Sarah Elizabeth Achenbach, M.D.
• Achievement Center of Lecom Health
• Dallas Renee Acker, PMHNP-BC
• Kimberly Diane Ackerman, RN,BSN
• Colleen T Acri, MSN, RN, CEN
• Martin Acri, MA, CRC
• Activecare Physical Therapy

• Early Intervention Provider Agency in Erie, PA
• Providers in Erie, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.