Organization Active NPI

The Addiction Center of Broome County, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Binghamton, NY
National Provider Identifier
1295817583
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
090611044 Issued in NY
Legal business name
THE ADDICTION CENTER OF BROOME COUNTY, INC.
Practice address
30 W State St
Binghamton, NY 13901-2332
Phone
(607) 723-7308
Fax
(607) 724-4626
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Mrs. Carmela Etelvina Pirich, LCSW
Title
Executive Director
Phone
(607) 940-0102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 090611044 NY Primary

Addresses

Primary practice location

30 W State St
Binghamton, NY 13901-2332

Mailing address

30 W State St
Binghamton, NY 13901-2332
Phone (607) 723-7308

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2156412The Addiction Center of Broome County Inc30 W State Street, Binghamton, NY 13901Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1295817583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W STATE ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012332",
            "telephone_number": "607-723-7308",
            "fax_number": "607-724-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W STATE ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012332",
            "telephone_number": "607-723-7308",
            "fax_number": "607-724-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADDICTION CENTER OF BROOME COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "PIRICH",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_middle_name": "ETELVINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-940-0102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "090611044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.