Allegany Council on Alcoholism and Substance Abuse, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071010658 Issued in NY

Legal business name

ALLEGANY COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE, INC.

Practice address

2956 Airway Rd
Wellsville, NY 14895-9329

Phone

(585) 593-6738

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

William Penman

Title

Executive Director

Phone

(585) 593-1920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allegany Area Council on Alcoholism Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Allegany Area Council on Alcoholism Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Allegany Council on Alcoholism and Substance Abuse, Inc.

  • Substance Abuse Rehabilitation Facility
  • Wellsville, NY
  • NPI 1720493802
  NPD tax ID

Locations

Practitioners 6

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

• Mary Susan Nobilski, M.D.

  • Psychiatry Physician
  • Bath, NY
  • NPI 1265518179
  Medicare reassignment NPD
• Galvin D Anderson, MD

  • Family Medicine Physician
  • Wellsville, NY
  • NPI 1609849173
  NPD
• Dana G. Flanigan, CASAC-M, LMHC

  • Mental Health Counselor
  • Wellsville, NY
  • NPI 1174377063
  NPD
• Amber Madison

  • Counselor
  • Wellsville, NY
  • NPI 1912667643
  NPD
• Jennifer Studley, LMSW, CASAC-T

  • Social Worker
  • Wellsville, NY
  • NPI 1851142210
  NPD
• Karen Wahl, REGISTERED NURSE

  • Registered Nurse
  • Wellsville, NY
  • NPI 1114779923
  NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1316083934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 COUNTY ROAD 30",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959445",
            "telephone_number": "585-593-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 AIRWAY RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959329",
            "telephone_number": "585-593-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "PENMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "585-593-1920"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "071010658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00618180",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegany Area Council on Alcoholism Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Meredith Aaron
• Monica Jeanne Acomb, 38382089
• Moira Eileen Ahl I, PHARM.D.
• Allegany Council on Alcoholism and Substance Abuse, Inc.
• Allegany County Chapter Nysarc Inc
• Allegany County Community Services
• Allegany Rehabilitation Associates
• Allegany Rehabilitation Associates

• Community/Behavioral Health Agency in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.