NPIMap

Organization Active NPI

Council on Alcoholism and Drug Abuse of Sullivan Co., Inc.

Doing business as Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Monticello, NY
National Provider Identifier
1437238706
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF SULLIVAN CO., INC.
Doing business as
Recovery Center
Practice address
17 Hamilton Ave
Monticello, NY 12701-1319
Phone
(845) 794-8080
Fax
(845) 794-8343
NPI assigned
Nov 6, 2006
Last updated
Aug 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Mrs. Izetta Briggs-BollingNPI 1265751382
Title
Chief Executive Officer
Phone
(845) 794-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

17 Hamilton Ave
Monticello, NY 12701-1319

Mailing address

11 Hamilton Ave
Monticello, NY 12701-1319
Phone (845) 794-8080

Other identifiers 5

IdentifierTypeStateIssuer
190343OtherNYMAGELLEN HEALTH SERVICE
992155OtherNYMVP HEALTH CARE
12676OtherNYBEACON HEALTH STRATEGIES
A469242OtherNYOXFORD HEALTH CARE
02527026MedicaidNY

Other names 1

  • Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Council on Alcoholism and Drug Abuse of Sullivan Co 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.

Locations

11 Hamilton Ave
Monticello, NY 12701
Phone (845) 294-5124

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1437238706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAMILTON AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011319",
            "telephone_number": "845-794-8080",
            "fax_number": "845-791-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAMILTON AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011319",
            "telephone_number": "845-794-8080",
            "fax_number": "845-794-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF SULLIVAN CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "BRIGGS-BOLLING",
        "authorized_official_first_name": "IZETTA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-794-8080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLEN HEALTH SERVICE",
            "identifier": "190343",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "992155",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "12676",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH CARE",
            "identifier": "A469242",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02527026",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.