Organization Active NPI

The Community Intervention Center

  • Point of Service
  • Scranton, PA
National Provider Identifier
1235264912
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
THE COMMUNITY INTERVENTION CENTER
Practice address
445 N 6TH Ave
Scranton, PA 18503-2101
Phone
(570) 342-4298
Fax
(570) 343-2804
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Mrs. Tara Quinn Finnerty
Title
Director
Phone
(570) 342-4298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

445 N 6TH Ave
Scranton, PA 18503-2101

Mailing address

445 N 6TH Ave
Scranton, PA 18503-2101
Phone (570) 342-4298

Other identifiers 1

IdentifierTypeStateIssuer
1016532920002OtherPACCBH GRP

National Provider Directory

National Provider Directory

Locations

445 N 6th Ave
Scranton, PA 18503
Phone (570) 342-4298

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1235264912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N 6TH AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032101",
            "telephone_number": "570-342-4298",
            "fax_number": "570-343-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N 6TH AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032101",
            "telephone_number": "570-342-4298",
            "fax_number": "570-343-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY INTERVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "FINNERTY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "QUINN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-342-4298",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCBH GRP",
            "identifier": "1016532920002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.