NPIMap

Organization Active NPI

Youngstown Committee on Alcoholism

Doing business as Neil Kennedy Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Austintown, OH
National Provider Identifier
1669474037
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
YOUNGSTOWN COMMITTEE ON ALCOHOLISM
Doing business as
Neil Kennedy Recovery Centers
Practice address
5211 Mahoning Ave Ste 370
Austintown, OH 44515-1853
Phone
(330) 792-4724
Fax
(330) 792-1848
NPI assigned
Aug 15, 2005
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
YOUNGSTOWN COMMITTEE ON ALCOHOLISMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Mr. James Troup
Title
President/Ceo
Phone
(412) 604-8900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 07155 OH
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5211 Mahoning Ave Ste 370
Austintown, OH 44515-1853

Mailing address

5211 Mahoning Ave Ste 370
Austintown, OH 44515-1853
Phone (330) 792-4724

Other identifiers 1

IdentifierTypeStateIssuer
2877507MedicaidOH

Other names 1

  • Neil Kennedy Recovery Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Youngstown Committee on Alcoholism Inc5 organizations share this tax ID, including this one
Part of
Youngstown Committee on Alcoholism Inc

Other organizations with this tax ID 4

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

Locations

5211 Mahoning Ave
Ste 310
Youngstown, OH 44515
Phone (330) 792-4754

5211 Mahoning Ave
Ste 370
Youngstown, OH 44515
Phone (330) 744-1181

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1669474037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 MAHONING AVE STE 370",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151853",
            "telephone_number": "330-792-4724",
            "fax_number": "330-792-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 MAHONING AVE STE 370",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151853",
            "telephone_number": "330-792-4724",
            "fax_number": "330-792-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN COMMITTEE ON ALCOHOLISM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNGSTOWN COMMITTEE ON ALCOHOLISM",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "TROUP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-604-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "07155",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877507",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neil Kennedy Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neil Kennedy Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.