NPIMap

Organization Active NPI

Stairways Behavioral Health

  • Clinic/Center
  • Erie, PA
National Provider Identifier
1780704692
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
257073 Issued in PA
Legal business name
STAIRWAYS BEHAVIORAL HEALTH
Practice address
2910 State St
Erie, PA 16508-1832
Phone
(814) 454-5686
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Mr. Thomas Kirkwood
Title
Cfo
Phone
(814) 453-5806

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 257073 PA
Clinic/Center 261Q00000X 257073 PA Primary

Addresses

Primary practice location

2910 State St
Erie, PA 16508-1832

Mailing address

138 E 26TH St
Erie, PA 16504-1049
Phone (814) 453-5806

Other identifiers 1

IdentifierTypeStateIssuer
1000063480017MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Stairways Outpatient CL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2911 State St
Erie, PA 16508
Phone (814) 453-5806

Practitioners & affiliated clinicians

Practitioners 7

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1780704692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041049",
            "telephone_number": "814-453-5806",
            "fax_number": "814-453-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081832",
            "telephone_number": "814-454-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAIRWAYS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-453-5806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "257073",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "257073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000063480017",
            "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 May 23, 2008; 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.