LAKE ERIE BEHAVIORAL HEALTH, LLC (NPI# 1245742469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245742469 |
| Entity Type | Organization |
| Organization Name | LAKE ERIE BEHAVIORAL HEALTH, LLC |
| Practice Address |
3216 State St Erie PA 16508 |
| Mailing Address |
359 W 29th St Erie PA 16508-1762 |
| Practice Telephone | 8148122633 |
| Mailing Telephone | 8148122633 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | SHERIFIA ELAINE HERON (CEO) |
| Authorized Official Telephone | 8144543192 |
| Authorized Official Credential | MEDICAL DOCTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD458004 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3216 STATE ST |
| City | ERIE |
| State | PA |
| Zip Code | 16508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548215296 | Rectal and Colon Surgery Inc | Colon & Rectal Surgery | 3216 State St, Erie, PA 16508-2822 | 2006-05-23 |
| 1023375250 | Sherifia Elaine Heron | Psychiatry & Neurology | 3216 State St, Erie, PA 16508 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497107205 | David Figueroa | Psychiatry & Neurology | 4215 Ellsworth Ave, Erie, PA 16509-1054 | 2016-07-05 |
| 1891776993 | Kirstin Ellen Brunner | Psychiatry & Neurology | 1020 East 1oth Street, Erie, PA 16503-0002 | 2005-11-07 |
| 1245865815 | Millcreek Community Hospital | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-03-04 |
| 1861025058 | Medical Associates of Erie | Psychiatry & Neurology | 537 W 18th St, Erie, PA 16502-1722 | 2020-02-17 |
| 1831502160 | Prianka Sinha | Psychiatry & Neurology | 5515 Peach St, Erie, PA 16509 | 2014-06-04 |
| 1174936504 | Gianpiero Martone | Psychiatry & Neurology | 5535 Peach St, Erie, PA 16509-2603 | 2014-06-03 |
| 1114217270 | Nichole Lee Sonderman | Psychiatry & Neurology | 900 State St, Suite 203b, Erie, PA 16501-1419 | 2011-04-11 |
| 1548281918 | Max W Gottesman | Psychiatry & Neurology | 1910 Sassafras St, Behavioral Health Unit, Erie, PA 16502-2716 | 2006-07-21 |
| 1447279955 | Lihui Tang | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-1601 | 2006-07-18 |
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|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
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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.