Endless Mountain Behavioral Health Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ENDLESS MOUNTAIN BEHAVIORAL HEALTH CENTER INC

Practice address

175 Lamoka Rd
Sayre, PA 18840-9429

Phone

(928) 273-1997

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

William Connolly

Title

Compliance Officer

Phone

(928) 273-1997

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Drake, LSW

  • Social Worker
  • Wellsboro, PA
  • NPI 1275920456
  NPD
• Joseph Cama, MD

  • Family Medicine Physician
  • Towanda, PA
  • NPI 1841395928
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1124723606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LAMOKA RD",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409429",
            "telephone_number": "928-273-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LAMOKA RD",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409429",
            "telephone_number": "928-273-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS MOUNTAIN BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "928-273-1997"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Hunter Edwards
• Michael Stephen Elder Waters
• Richard Lee Eller, M.D.
• George L Ellis, M.D.
• Hannah Tourgee Emick, PA-C
• Logan Ann Engle
• Pamela Jean Ennis, CRNA
• Lisa Marie Esolen, MD
• Kara Kathleen Evans, PT, DPT
• Nicholas James Evertsen, D.O.

• Community/Behavioral Health Agency in Sayre, PA
• Providers in Sayre, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.