Organization Active NPI

Perseus House Inc

  • Psychiatric Residential Treatment Facility
  • Erie, PA
National Provider Identifier
1942271440
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PERSEUS HOUSE INC
Practice address
643 E 6TH St
Erie, PA 16507-1729
Phone
(814) 452-4271
NPI assigned
Feb 1, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Corina Sutton
Title
Accounting Specialist
Phone
(814) 480-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

643 E 6TH St
Erie, PA 16507-1729

Mailing address

1511 Peach St
Erie, PA 16501-2104
Phone (814) 480-5911

Other practice location 1

132 West 26th Street
Perseus House Enhanced RTF
Erie, PA 16508-1804
Phone (814) 480-8471

Other practice location 2

516 W 7th St
Erie, PA 16502-1333
Phone (814) 480-5900

Other identifiers 7

IdentifierTypeStateIssuer
1007713900052MedicaidPA
100771390MedicaidPA
1007713900016MedicaidPA
1007713900021MedicaidPA
1007713900053MedicaidPA
1007713900019MedicaidPA
1007713900041MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CSUTTON@PERSEUSHOUSE.ORG

National Provider Directory

National Provider Directory
Tax ID family
Perseus House Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

132 W 26th St
Erie, PA 16508
Phone (814) 480-8471

516 W 7th St
Erie, PA 16502
Phone (814) 453-6389

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1942271440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012104",
            "telephone_number": "814-480-5911",
            "fax_number": "814-454-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 E 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071729",
            "telephone_number": "814-452-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 West 26th Street",
            "address_2": "Perseus House Enhanced RTF",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165081804",
            "country_code": "US",
            "telephone_number": "814-480-8471",
            "fax_number": "814-480-8474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165021333",
            "country_code": "US",
            "telephone_number": "814-480-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSEUS HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "ACCOUNTING SPECIALIST",
        "authorized_official_telephone_number": "814-480-5911"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713900052",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771390",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713900016",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713900021",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713900053",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713900019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713900041",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CSUTTON@PERSEUSHOUSE.ORG",
            "affiliation": "N",
            "address_1": "1510 State St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165012220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 20, 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.

Verify at the official NPI Registry.