Active NPI
Cayuga Addiction Recovery Services
- Community/Behavioral Health Agency
- Ithaca, NY
National Provider Identifier
1043686314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAYUGA ADDICTION RECOVERY SERVICES
- Practice address
- 334 W State St
Ithaca, NY 14850-5432 - Phone
- (607) 273-5500
- NPI assigned
- Aug 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Michael Lambert Johnston, LMSW
- Title
- Primary Addictions Counselor
- Phone
- (607) 273-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
334 W State St
Ithaca, NY 14850-5432
Mailing address
477 Nelson Rd
Apartment
Ithaca, NY 14850-9437
Phone (607) 229-0170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095740 | Other | NY | NYS OFFICE OF THE PROFESSIONS - LMSW |
National Provider Directory
National Provider Directory- Tax ID family
- Ithaca Alpha House Center Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ithaca, NY
- NPI 1548709025
-
- Substance Abuse Rehabilitation Facility
- Trumansburg, NY
- NPI 1497206221
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ithaca, NY
- NPI 1548262363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440028800000",
"number": "1043686314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 NELSON RD",
"address_2": "APARTMENT",
"city": "ITHACA",
"state": "NY",
"postal_code": "148509437",
"telephone_number": "607-229-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 W STATE ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505432",
"telephone_number": "607-273-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAYUGA ADDICTION RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-20",
"last_updated": "2015-08-20",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "MICHAEL LAMBERT",
"authorized_official_title_or_position": "PRIMARY ADDICTIONS COUNSELOR",
"authorized_official_telephone_number": "607-273-5500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF THE PROFESSIONS - LMSW",
"identifier": "095740",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
- Adriana Carruthers
- Jessica L Casey
- Martha Dunham Catalfamo, DMD
- Catholic Charities of the Diocese of Rochester
- Mary E Cauchard, OTRL
- Cayuga Anesthesia Associates, PLLC
- Cayuga Comprehensive Psychological Services, PC
- Cayuga Dermatology, PLLC
- Cayuga Ear, Nose, Throat & Allergy Associates
- Cayuga Ear, Nose, Throat-Head & Neck Surgery, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.