NPIMap

Organization Active NPI

Northumberland County Drug & Alcohol Program

  • Community/Behavioral Health Agency
  • Sunbury, PA
National Provider Identifier
1285775155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
497022 Issued in PA
Legal business name
NORTHUMBERLAND COUNTY DRUG & ALCOHOL PROGRAM
Practice address
217 N Center St
Sunbury, PA 17801-2205
Phone
(570) 495-2154
Fax
(570) 988-4347
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel Richard Williamson, MED, LPC, CAC
Title
Drug & Alcohol Administrator
Phone
(570) 495-2161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 497022 PA Primary

Addresses

Primary practice location

217 N Center St
Sunbury, PA 17801-2205

Mailing address

217 N Center St
Sunbury, PA 17801-2205
Phone (570) 495-2154

Other identifiers 1

IdentifierTypeStateIssuer
497022OtherPAFACILITY LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Northumberland County Mental Health Mental Retardation Program11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285775155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2154",
            "fax_number": "570-988-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2154",
            "fax_number": "570-988-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHUMBERLAND COUNTY DRUG & ALCOHOL PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DRUG & ALCOHOL ADMINISTRATOR",
        "authorized_official_telephone_number": "570-495-2161",
        "authorized_official_credential": "MED, LPC, CAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "497022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE NUMBER",
            "identifier": "497022",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.