NPIMap

Organization Active NPI

Abington Health Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarks Summit, PA
National Provider Identifier
1114657665
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ABINGTON HEALTH GROUP, LLC
Practice address
611 Carnation Dr
Clarks Summit, PA 18411-2111
Phone
(570) 331-8273
NPI assigned
Jun 15, 2022
Last updated
Apr 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Mrs. Allison Ann Maria Lyavdansky, AGNP-C, PMHNP-BCNPI 1891345971
Title
NP
Phone
(570) 331-8372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

611 Carnation Dr
Clarks Summit, PA 18411-2111

Mailing address

1143 Northern Blvd # 101
South Abington Township, PA 18411-2221
Phone (570) 331-8273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1114657665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 NORTHERN BLVD # 101",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184112221",
            "telephone_number": "570-331-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CARNATION DR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112111",
            "telephone_number": "570-331-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "LYAVDANSKY",
        "authorized_official_first_name": "ALLISON ANN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "570-331-8372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AGNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.