Active NPI
The Community Intervention Center
- Point of Service
- Scranton, PA
National Provider Identifier
1235264912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016532920002 | Other | PA | CCBH GRP |
National Provider Directory
National Provider DirectoryLocations
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
- Thaxton Holistic Wellness Center
- Sara Lynne Thaxton, PHD, LPC, EMDR
- The Advocacy Alliance
- The Arc of Lackawanna County
- The Center for Integrative Medicine at Inner Harmony, PC
- The Meadows at Scranton for Nursing and Rehabilitation LLC
- The Optical House
- The Prescription Center - South Washington LLC
- The Prescription Center - South Washington LLC
- The Prescription Center LLC
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.