SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT
NPI 1659133668
Clinic/Center in Erie, PA

NPI Status: Active since January 25, 2024

Contact Information

2556 W 12TH ST
ERIE, PA
ZIP 16505
Phone: (814) 835-2960
Fax: (814) 833-0879

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center

About SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT

This page provides the complete NPI Profile along with additional information for Safe Harbor Behavioral Health Of Upmc Hamot, a provider established in Erie, Pennsylvania operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1659133668 assigned on January 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mandy Ann Fauble (Director Clinical Care Services)

NPI: 1659133668
Provider Name: SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT
Entity Type: Organization
Location Address: 2556 W 12TH ST ERIE, PA 16505
Location Phone: (814) 835-2960
Location Fax: (814) 833-0879
Mailing Address: 1330 W 26TH ST ERIE, PA 16508
Mailing Phone: (814) 451-2232
Mailing Fax: (814) 833-0879
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-25-2024
Last Update Date: 01-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MANDY ANN FAUBLE
Authorized Official Title: DIRECTOR CLINICAL CARE SERVICES
Authorized Official Phone: (814) 451-2225

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
455580	OTHER (01)	PA	STATE LICENSE

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	5	9	1	3	3	6	6	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	10	9	2	3	6	6	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 2 + 3 + 6 + 6 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8									8

The NPI number 1659133668 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.