NPIMap

Organization Active NPI

Northumberland County Mental Health Mental Retardation Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sunbury, PA
National Provider Identifier
1508840307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHUMBERLAND COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Practice address
217 N Center St
BLDG a
Sunbury, PA 17801-2205
Phone
(570) 495-2010
Fax
(570) 988-4991
NPI assigned
Dec 5, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judith C Davis
Title
Administrator
Phone
(570) 495-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

217 N Center St
BLDG a
Sunbury, PA 17801-2205

Mailing address

217 N Center St
BLDG a
Sunbury, PA 17801-2205
Phone (570) 495-2212

Other identifiers 1

IdentifierTypeStateIssuer
1007378070019MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Northumberland County Mental Health Mental Retardation Program11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508840307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "address_2": "BLDG A",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2212",
            "fax_number": "570-988-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "address_2": "BLDG A",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2010",
            "fax_number": "570-988-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHUMBERLAND COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-495-2002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007378070019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.