Provider Demographics
NPI:1477573079
Name:THE FAMILY INSTITUTE, INC.
Entity Type:Organization
Organization Name:THE FAMILY INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMENICO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIARIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:814-480-8797
Mailing Address - Street 1:100 STATE ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1453
Mailing Address - Country:US
Mailing Address - Phone:814-480-8797
Mailing Address - Fax:814-459-2303
Practice Address - Street 1:100 STATE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1453
Practice Address - Country:US
Practice Address - Phone:814-480-8797
Practice Address - Fax:814-459-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA094104Medicare ID - Type Unspecified