NPIMap

Organization Active NPI

Baron T. Denniston M.D.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
National Provider Identifier
1902057045
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BARON T. DENNISTON M.D.
Practice address
150 E 8TH St
Erie, PA 16501-1269
Phone
(814) 456-1863
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Baron T. Denniston, M.D.NPI 1790837490
Title
Physican
Phone
(814) 456-1863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X MD044333L PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

150 E 8TH St
Erie, PA 16501-1269

Mailing address

150 E 8TH St
Erie, PA 16501-1269
Phone (814) 456-1863

Other identifiers 1

IdentifierTypeStateIssuer
1249105MedicaidPA

National Provider Directory

National Provider Directory

Locations

150 E 8th St
Erie, PA 16501
Phone (814) 440-7909

Practitioners & affiliated clinicians

Practitioners 2

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1902057045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011269",
            "telephone_number": "814-456-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011269",
            "telephone_number": "814-456-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARON T. DENNISTON M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "DENNISTON",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "814-456-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "PA",
            "license": "MD044333L",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1249105",
            "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 Oct 7, 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.