ABRAXAS 1
NPI 1194164442
Psychiatric Residential Treatment Facility in Marienville, PA

Active since June 20, 2013CLIA 39D0900325 · Waiver
165 ABRAXAS RD, MARIENVILLE, PA 16239(814) 927-6615 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Abraxas 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABRAXAS 1 (NPI 1194164442) is a healthcare organization registered as a psychiatric residential treatment facility in Marienville, Pennsylvania and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists John Sadler, Director, Business Management, as its authorized official.

NPPES Registry Identity

NPI1194164442
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameCORNELL ABRAXAS GROUP, LLC
Location Address165 ABRAXAS RDMarienville, PA 16239-0059
Mailing Address2840 Liberty Ave Ste 300Pittsburgh, PA 15222-4776 · (814) 566-6656
Organization SubpartYesParent: Abraxas Alliance, Inc.
Authorized OfficialJohn SadlerDirector, Business Management · (814) 566-6656
Enumeration DateJune 20, 2013
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
NPI 1194164442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in PA · 411260
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
165 ABRAXAS RD, Marienville, PA 16239

Other Names 1

Other NameAbraxas 1

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0900325

Abraxas I Geo Group Inc. · Marienville, PA
Active · expires Apr 23, 2027
CLIA Number39D0900325
Laboratory TypePractitioner Other
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorDr. James E. Devlin
Laboratory Phone(814) 927-6615
Laboratory LocationAbraxas I Geo Group Inc.165 Abraxas Road, Marienville, PA 16239
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornell Abraxas Group, LLC's NPI number?

The NPI number for Cornell Abraxas Group, LLC is 1194164442. It was assigned to this organization in the NPPES registry on June 20, 2013. The provider is also known as Abraxas 1.

Where is Cornell Abraxas Group, LLC located?

Cornell Abraxas Group, LLC is located at 165 Abraxas Rd, Marienville, PA 16239. The listed phone number is (814) 927-6615.

What is Cornell Abraxas Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Cornell Abraxas Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0900325) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cornell Abraxas Group, LLC was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.