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PETKAC PSYCHOTHERAPY SERVICES
NPI 1508915463
Community/Behavioral Health in Erie, PA

Active since January 09, 2007
4021 W 12TH ST, ERIE, PA 16505(814) 882-3861(814) 833-7944 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petkac Psychotherapy Services NPPES

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

PETKAC PSYCHOTHERAPY SERVICES (NPI 1508915463) is a healthcare organization registered as a community/behavioral health in Erie, Pennsylvania and active in the NPI registry since January 2007. The organization lists John S. Petkac, Owner, as its authorized official.

NPPES Registry Identity

NPI1508915463
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePETKAC PSYCHOTHERAPY SERVICES
Location Address4021 W 12TH STErie, PA 16505-3354
Mailing Address4021 W 12th StErie, PA 16505-3354 · (814) 882-3861 · Fax (814) 833-7944
Phone(814) 882-3861
Fax(814) 833-7944
Organization SubpartNo
Authorized OfficialJohn S. PetkacOwner · (814) 882-3861
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1508915463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselorTaxonomy 101Y00000X
4021 W 12TH ST, Erie, PA 16505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHELLE LYNN ADLER NCC, LPC
Counselor (Professional)
4021 W 12TH ST
ERIE, PA 16505
Erie County (814) 504-2628
MS. JUDITH SIMPSON BUCHMAN MA LPC
Counselor (Professional)
4021 W 12TH ST
ERIE, PA 16505
Erie County (814) 392-1865
JOHN S. PETKAC LPC
Counselor (Professional)
4021 W 12TH ST
ERIE, PA 16505
Erie County (814) 882-3861
MORRIS FAMILY HOME CARE AGENCY
Home Health
4021 W 12TH ST
ERIE, PA 16505
Erie County (814) 544-5551

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 Petkac Psychotherapy Services's NPI number?

The NPI number for Petkac Psychotherapy Services is 1508915463. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Petkac Psychotherapy Services located?

Petkac Psychotherapy Services is located at 4021 W 12th St, Erie, PA 16505. The listed phone number is (814) 882-3861.

What is Petkac Psychotherapy Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Petkac Psychotherapy Services was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.