NPIMap

Organization Active NPI

Shared Support

  • Community/Behavioral Health Agency
  • Sunbury, PA
National Provider Identifier
1073804464
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHARED SUPPORT
Practice address
218 Bridge Ave
Sunbury, PA 17801-1006
Phone
(570) 286-4982
Fax
(570) 286-4984
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mr. Jeffrey Hyson, LSW
Title
Regional Director
Phone
(570) 286-4982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PA Primary

Addresses

Primary practice location

218 Bridge Ave
Sunbury, PA 17801-1006

Mailing address

218 Bridge Ave
Sunbury, PA 17801-1006
Phone (570) 286-4982

National Provider Directory

National Provider Directory
Tax ID family
Shared Support Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

218 Bridge Ave
Sunbury, PA 17801
Phone (570) 286-4982

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1073804464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BRIDGE AVE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011006",
            "telephone_number": "570-286-4982",
            "fax_number": "570-286-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BRIDGE AVE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011006",
            "telephone_number": "570-286-4982",
            "fax_number": "570-286-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "HYSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "570-286-4982",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.