SAINT VINCENT SERENITY PROGRAM (NPI# 1184797961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184797961 |
| Entity Type | Organization |
| Organization Name | SAINT VINCENT SERENITY PROGRAM |
| Practice Address |
1910 Sassafras St Suite 100 Erie PA 16502-2716 |
| Practice Telephone | 8144525555 |
| Mailing Telephone | 8144525555 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | MR. SCOTT A WHALEN (PRESIDENT & CEO) |
| Authorized Official Telephone | 8144525111 |
| Authorized Official Credential | PHD, FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT VINCENT HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
252013 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100162500039 | 05 | |
| PA | HIGHMARK FACILITY NUMBER | 0801 | 01 |
| Street Address |
1910 SASSAFRAS ST SUITE 100 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401323 | Jason P Dudzic | Physical Therapist | 1910 Sassafras St, Suite 200, Erie, PA 16502-2716 | 2005-07-19 |
| 1750819363 | Sean Adam Christie | Physical Therapist | 1910 Sassafras St, Erie, PA 16502-2716 | 2017-05-25 |
| 1619401346 | Saint Vincent Medical Education and Research Inst. Inc. | Pain Medicine | 1910 Sassafras St, Suite 300, Erie, PA 16502-2716 | 2017-04-19 |
| 1629516844 | Saint Vincent Medical Education and Research Inst. Inc. | Dermatology | 1910 Sassafras St, Suite 300, Erie, PA 16502-2716 | 2017-02-08 |
| 1063886265 | Saint Vincent Medical Education and Research Institute Inc. | Family Medicine | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2015-11-25 |
| 1104175660 | Melanie Elaine Glennon | Nurse Practitioner | 1910 Sassafras St, Suite 200, Erie, PA 16502-2716 | 2012-08-30 |
| 1033442660 | Saint Vincent Medical Education and Research Institute Inc | Counselor | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2009-09-15 |
| 1760715395 | Saint Vincent Medical Educationand Reseach Institute Inc | Psychologist | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2009-09-15 |
| 1396970380 | Mary W Moreland | Nurse Practitioner | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2009-05-20 |
| 1649429986 | Melissa B Jorden | Pain Medicine | 1910 Sassafras St, Suite 301, Erie, PA 16502-2716 | 2008-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
| 1891267027 | Solace Counseling, Pllc | Clinic/Center | 671 Mitchell Way Ste 116, Erie, CO 80516-5447 | 2018-12-28 |
| 1104275841 | Erie Colorado Counseling Pllc | Clinic/Center | 685 Briggs St., Erie, CO 80516-0944 | 2016-06-03 |
| 1518506716 | Safe Harbor Behavioral Health of Upmc Hamot | Clinic/Center | 1330 W 26th St, Erie, PA 16508-1402 | 2020-01-06 |
| 1518522242 | Journey To A Trauma-informed Life | Clinic/Center | 2230 W 8th St Ste 2, Erie, PA 16505-4545 | 2019-05-08 |
| 1205309531 | Mindbodysoulworks, LLC | Clinic/Center | 4190 E Lake Rd, Erie, PA 16511-1355 | 2019-01-09 |
| 1356811905 | Katherine N. Hoffman, Lpc | Clinic/Center | 2221 Peninsula Dr Ste 207, Erie, PA 16506-2954 | 2018-11-27 |
| 1720594724 | Family Services of Nw Pa | Clinic/Center | 5100 Peach Street, Erie, PA 16506 | 2017-12-28 |
| 1942758404 | Erie Wellness, PC | Clinic/Center | 1455 W 38th St, Erie, PA 16508-2350 | 2016-09-13 |
| 1770794208 | Safe Harbor Behavioral Health of Upmc Hamot | Clinic/Center | 1330 W 26th St, Erie, PA 16508-1402 | 2007-05-25 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.