Alan Drew, CASAC

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

28854 Issued in NY

Practice address

380 Freeville Rd
Freeville, NY 13068-9684

Phone

(607) 844-6442

Fax

(607) 844-3524

NPI assigned

Oct 28, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William George Agency

  • Substance Abuse Rehabilitation Facility
  • Freeville, NY
  • NPI 1932568755
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1487026571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 FREEVILLE ROAD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689684",
            "telephone_number": "607-844-6442",
            "fax_number": "607-844-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 FREEVILLE RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689684",
            "telephone_number": "607-844-6442",
            "fax_number": "607-844-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "ALAN",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NY",
            "license": "28854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Dady, RN
• Renee J Damon
• Alexa Dhuy, BS
• Laura Dintino, RN
• Holly Lillian Doe, CMHC M.S.
• Jennifer Dupay
• Ilaya Nayesia Edwards
• Vanessa Eisenhower
• Ellie Phillips-Burdge, LLC
• Connie Elizabeth Ervin, R.N.

• Children's Substance Abuse Rehabilitation Facility in Freeville, NY
• Providers in Freeville, NY by specialty
• Children's Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.