NPIMap

Organization Active NPI

Alcohol & Drug Council of Tompkins County, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ithaca, NY
National Provider Identifier
1194744227
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
070410653 Issued in NY
Legal business name
ALCOHOL & DRUG COUNCIL OF TOMPKINS COUNTY, INC.
Practice address
201 E Green St Ste 500
Ithaca, NY 14850-5635
Phone
(607) 274-6288
Fax
(607) 274-6280
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Lynne Teeter
Title
Director of Finance & Administratio
Phone
(607) 274-6288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 070410653 NY Primary

Addresses

Primary practice location

201 E Green St Ste 500
Ithaca, NY 14850-5635

Mailing address

201 E Green St Ste 500
Ithaca, NY 14850-5635
Phone (607) 274-6288

Other identifiers 3

IdentifierTypeStateIssuer
00794101MedicaidNY
316304OtherNYVALUE OPTIONS PROVIDER ID
7320013002OtherNYGHI PROVIDER ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1194744227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GREEN ST STE 500",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505635",
            "telephone_number": "607-274-6288",
            "fax_number": "607-274-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GREEN ST STE 500",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505635",
            "telephone_number": "607-274-6288",
            "fax_number": "607-274-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL & DRUG COUNCIL OF TOMPKINS COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "TEETER",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & ADMINISTRATIO",
        "authorized_official_telephone_number": "607-274-6288"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "070410653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00794101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "316304",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "7320013002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.