Active NPI
Gaudenzia Inc
- Community/Behavioral Health Agency
- Erie, PA
National Provider Identifier
1922180652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GAUDENZIA INC
- Practice address
- 414 W 5TH St
Erie, PA 16507-1214 - Phone
- (814) 459-4775
- Fax
- (814) 453-6118
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Williams
- Title
- Sr. Contracting Manager
- Phone
- (484) 338-3731
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X | 251086 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 257046 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 257048 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 257079 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 257080 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 257081 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 257082 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 257083 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 437029 | PA |
Addresses
Primary practice location
414 W 5TH St
Erie, PA 16507-1214
Mailing address
106 W Main St Ste 202
Norristown, PA 19401-4716
Phone (610) 239-9600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0815 | Other | PA | BLUE CROSS BLUE SHEILD |
| 459802 | Other | PA | VALUE OPTIONS |
| VO543B | Other | PA | UPMC |
| 0018923880001 | Medicaid | PA | |
| 1018307530003 | Medicaid | PA | |
| 60054 | Other | PA | AETNA |
| 0018923880001 | Other | PA | CCBHO |
National Provider Directory
National Provider Directory- Tax ID family
- Gaudenzia
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Harrisburg, PA
- NPI 1811011513
-
- Clinic/Center
- West Chester, PA
- NPI 1881718062
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Philadelphia, PA
- NPI 1922273564
-
- Psychiatric Residential Treatment Facility
- Philadelphia, PA
- NPI 1649722349
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Harrisburg, PA
- NPI 1659585461
-
- Clinic/Center
- Delta, PA
- NPI 1679117592
-
- Substance Use Disorder Rehabilitation Clinic/Center
- West Chester, PA
- NPI 1689708513
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Philadelphia, PA
- NPI 1730212861
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1790146652
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bristol, PA
- NPI 1811392053
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1831222751
-
- Substance Use Disorder Rehabilitation Clinic/Center
- West Chester, PA
- NPI 1932233061
Locations
414 W 5th St
Erie, PA 16507
Phone (814) 459-4775
2005 W 8th St
Ste 202
Erie, PA 16505
Phone (478) 246-7577
106 W Main St
Ste 202
Norristown, PA 19401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1922180652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W MAIN ST STE 202",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194014716",
"telephone_number": "610-239-9600",
"fax_number": "814-616-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 W 5TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071214",
"telephone_number": "814-459-4775",
"fax_number": "814-453-6118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAUDENZIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "SR. CONTRACTING MANAGER",
"authorized_official_telephone_number": "484-338-3731"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "251086",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "257046",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "257048",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "257079",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "257080",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "257081",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "257082",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "257083",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "437029",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0815",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "459802",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "VO543B",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018923880001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018307530003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCBHO",
"identifier": "0018923880001",
"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 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.