DR. CHARLES PERROTTA JR. (NPI# 1639144165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639144165 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PERROTTA JR. |
| Credential | M.D. |
| Practice Address |
Presque Isle Mind-body Wellness Center 2500 Palermo Dr. Suite 2 Erie PA 16506 |
| Practice Telephone | 8148603179 |
| Practice Fax Number | 8146157400 |
| Mailing Telephone | 8148603179 |
| Mailing Fax Number | 8146157400 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD042761L | PA | Other Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-042761-L | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD-042761-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001937185 | 05 |
| Street Address |
PRESQUE ISLE MIND-BODY WELLNESS CENTER 2500 PALERMO DR. SUITE 2 |
| City | ERIE |
| State | PA |
| Zip Code | 16506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| 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 |
| 1245742469 | Lake Erie Behavioral Health, LLC | Psychiatry & Neurology | 3216 State St, Erie, PA 16508 | 2017-10-27 |
| 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 |
| 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.