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Contact Information

PSYCHOLOGICAL HEALTH SERVICES
956 WEST 38TH STREET
ERIE, PA16508
 Phone: 814-864-9719
 Fax: 814-866-1174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL HEALTH SERVICES

NPI Number 1417371311
LBN Legal business name PSYCHOLOGICAL HEALTH SERVICES
Authorized official TED URBAN - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/12/2014
Last updated 02/12/2014 - About 12 years ago
Identifiers
PA Medicaid 0012320370001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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