NPIMap

Organization Active NPI

Northpointe Council Inc

  • Methadone Clinic
  • Niagra Falls, NY
National Provider Identifier
1265665954
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
NORTHPOINTE COUNCIL INC
Practice address
1001 11TH Street
Niagra Falls, NY 14301
Phone
(716) 278-8110
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Mr. Daniel J Shubada
Title
President
Phone
(716) 282-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1001 11TH Street
Niagra Falls, NY 14301

Mailing address

800 Main Street
Suite 2a
Niagra Falls, NY 14301
Phone (716) 282-1228

Other identifiers 1

IdentifierTypeStateIssuer
00932467MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Opioid treatment program
Medicare-enrolled since Oct 16, 2021

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220304001500 NY Part B Supplier - Opioid Treatment Program (Otp) 7618369570 Practice locations: Niagara Falls, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Northpointe Council Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Main St
#2A
Niagara Falls, NY 14301

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1265665954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN STREET",
            "address_2": "SUITE 2A",
            "city": "NIAGRA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-282-1228",
            "fax_number": "716-282-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 11TH STREET",
            "city": "NIAGRA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-278-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPOINTE COUNCIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "SHUBADA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-282-1228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00932467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagra Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.