NPIMap

Organization Active NPI

Alternative Community Resource Program

  • Psychologist
  • Johnstown, PA
National Provider Identifier
1003081845
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
309250 Issued in PA
Legal business name
ALTERNATIVE COMMUNITY RESOURCE PROGRAM
Practice address
131 Market St
Johnstown, PA 15901-1628
Phone
(814) 535-2277
NPI assigned
Apr 23, 2008
Organization subpart
Yes
Parent organization
ALTERNATIVE COMMUNITY RESOURCE PROGRAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank J Janakovic
Title
Executive Director
Phone
(814) 535-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 309250 PA Primary

Addresses

Primary practice location

131 Market St
Johnstown, PA 15901-1628

Mailing address

131 Market St
Johnstown, PA 15901-1628
Phone (814) 535-2277

Other identifiers 1

IdentifierTypeStateIssuer
1007323280011MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Alternative Community Resource Program94 organizations share this tax ID, including this one
Part of
Alternative Community Resource Program

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1003081845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011628",
            "telephone_number": "814-535-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011628",
            "telephone_number": "814-535-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE COMMUNITY RESOURCE PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTERNATIVE COMMUNITY RESOURCE PROGRAM",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "JANAKOVIC",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-535-2277"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "309250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007323280011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.