Organization Active NPI

Sunny Side Behavioral Health

  • Clinical Social Worker
  • Glen Rock, PA
National Provider Identifier
1508603309
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNNY SIDE BEHAVIORAL HEALTH
Practice address
10485 Foust Rd
Glen Rock, PA 17327-8325
Phone
(717) 873-1270
Fax
(717) 840-9488
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Amy Rominski, LCSWNPI 1578086567
Title
Owner
Phone
(717) 873-1270

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10485 Foust Rd
Glen Rock, PA 17327-8325

Mailing address

10485 Foust Rd
Glen Rock, PA 17327-8325
Phone (717) 873-1270

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": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1508603309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10485 FOUST RD",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173278325",
            "telephone_number": "717-873-1270",
            "fax_number": "717-840-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10485 FOUST RD",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173278325",
            "telephone_number": "717-873-1270",
            "fax_number": "717-840-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SIDE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "ROMINSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-873-1270",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.