Organization Active NPI

Delphi Drug & Alcohol Council, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rochester, NY
National Provider Identifier
1013130012
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
081111260 Issued in NY
Legal business name
DELPHI DRUG & ALCOHOL COUNCIL, INC
Practice address
72 Hinchey Rd
Rochester, NY 14624-2930
Phone
(585) 467-2230
Fax
(585) 730-6110
NPI assigned
Apr 10, 2007
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Julia Wittig
Title
Controller
Phone
(585) 467-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 081111260 NY Primary

Addresses

Primary practice location

72 Hinchey Rd
Rochester, NY 14624-2930

Mailing address

72 Hinchey Rd
Rochester, NY 14624-2930
Phone (585) 467-2230

Other identifiers 1

IdentifierTypeStateIssuer
02299058MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200702000427 NY Part B Supplier - Clinic/Group Practice 1052734407 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

1732 E Ridge Rd
Lowr
Rochester, NY 14622
Phone (585) 434-0523

1839 E Ridge Rd
Rochester, NY 14622

72 Hinchey Rd
Rochester, NY 14624
Phone (585) 467-2230

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1013130012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HINCHEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242930",
            "telephone_number": "585-467-2230",
            "fax_number": "585-730-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HINCHEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242930",
            "telephone_number": "585-467-2230",
            "fax_number": "585-730-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELPHI DRUG & ALCOHOL COUNCIL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "WITTIG",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "585-467-2230"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "081111260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02299058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.