Doctors and Lawyers for a Drug Free Youth

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

MD015591E Issued in PA

Legal business name

DOCTORS AND LAWYERS FOR A DRUG FREE YOUTH

Practice address

238 Main St
Clarion, PA 16214-1043

Phone

(814) 226-4909

NPI assigned

Dec 28, 2011

Last updated

Dec 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Radecki, M.D., J.D.NPI 1629093877

Title

Owner/Medical Doctor

Phone

(814) 226-4909

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Thomas Edward Radecki, M.D.

  • Psychiatry Physician
  • Clarion, PA
  • NPI 1629093877
  NPD (past) Authorized official
• Heidi L Gregg, CRNP

  • Family Nurse Practitioner
  • Du Bois, PA
  • NPI 1801165006
  NPD (past)

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1548539141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 MAIN ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MAIN ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141043",
            "telephone_number": "814-226-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS AND LAWYERS FOR A DRUG FREE YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "RADECKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "814-226-4909",
        "authorized_official_credential": "M.D., J.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD015591E",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "PA",
            "license": "MD015591E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014336910002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Michael Defrancisis, PA-C
• Haresh I. Desai, M.D.
• Dialysis Clinic Inc.
• Joshua Keith Diehl, O.D.
• Aaron Dinger, RN
• Doctors of Clarion, Inc.
• Doctors of Clarion, Inc.
• Tammi L Donaldson, LPC, RPT
• Arthur Dortort, DO
• Brandon Doverspike, D.O.

• Addiction Psychiatry Physician in Clarion, PA
• Providers in Clarion, PA by specialty
• Addiction Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.