Active NPI
Northbound & Co
- Peer Specialist
- Stroudsburg, PA
National Provider Identifier
1124834783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- NORTHBOUND & CO
- Practice address
- 6258 Route 209
Stroudsburg, PA 18360-7159 - Phone
- (570) 800-2466
- NPI assigned
- Dec 9, 2024
- 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. Philip Gentile, LSW
- Title
- President
- Phone
- (570) 800-2466
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
6258 Route 209
Stroudsburg, PA 18360-7159
Mailing address
6258 Route 209
Stroudsburg, PA 18360-7159
Phone (570) 800-2466
National Provider Directory
National Provider DirectoryLocations
6258 Route 209
Stroudsburg, PA 18360
Phone (570) 800-2466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1124834783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6258 ROUTE 209",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183607159",
"telephone_number": "570-800-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6258 ROUTE 209",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183607159",
"telephone_number": "570-800-2466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHBOUND & CO",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-800-2466",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.