Albany Addiction Associates, Inc. D/B/a Private Clinic Albany

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PHOP000026 Issued in GA

Legal business name

ALBANY ADDICTION ASSOCIATES, INC. D/B/A PRIVATE CLINIC ALBANY

Practice address

2607 Ledo Rd
Albany, GA 31707-1211

Phone

(229) 903-0022

Fax

(229) 903-0025

NPI assigned

Jul 22, 2010

Last updated

Jul 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Paul Connell, M.A.

Title

President

Phone

(229) 903-0022

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1124331970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 LEDO RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071211",
            "telephone_number": "229-903-0022",
            "fax_number": "229-903-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 LEDO RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071211",
            "telephone_number": "229-903-0022",
            "fax_number": "229-903-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY ADDICTION ASSOCIATES, INC. D/B/A PRIVATE CLINIC ALBANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-903-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "GA",
            "license": "PHOP000026",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "GA",
            "license": "NTP001025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Akins, CRNA
• Laith Moufed Al Dahabreh, MD
• Qadriyyah Taheerah Alalim, NP
• Patrick Timothy Aland
• Stephen F Alayli, DPM
• Albany Anesthesia Associates,PC (Albany Anesthesia Associates,PC/AAA Consortium)
• Albany Anesthesiologists, LLC
• Albany Area Community Service Board
• Albany Area Community Service Board (Albany Area Mental Health Pharmacy)
• Albany Area Community Service Board

• Pharmacotherapy Pharmacist in Albany, GA
• Providers in Albany, GA by specialty
• Pharmacotherapy Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.