Organization Active NPI

Alcohol and Substance Abuse Professionals

  • Community/Behavioral Health Agency
  • Pikeville, KY
National Provider Identifier
1649692344
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
810148 Issued in KY
Legal business name
ALCOHOL AND SUBSTANCE ABUSE PROFESSIONALS
Practice address
118 Caroline Ave
Suite 2
Pikeville, KY 41501-3988
Phone
(606) 437-0097
Fax
(606) 657-0205
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mr. Eugene Sisco III
Title
Administrator
Phone
(606) 437-0097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 810148 KY Primary

Addresses

Primary practice location

118 Caroline Ave
Suite 2
Pikeville, KY 41501-3988

Mailing address

118 Caroline Ave
Suite 2
Pikeville, KY 41501-3988
Phone (606) 437-0097

National Provider Directory

National Provider Directory

Locations

118 Caroline Ave
Ste 2
Pikeville, KY 41501
Phone (606) 437-0097

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1649692344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CAROLINE AVE",
            "address_2": "SUITE 2",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013988",
            "telephone_number": "606-437-0097",
            "fax_number": "606-657-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CAROLINE AVE",
            "address_2": "SUITE 2",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013988",
            "telephone_number": "606-437-0097",
            "fax_number": "606-657-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND SUBSTANCE ABUSE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-437-0097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "810148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.