Active NPI
SG Health Corporation
- Community/Behavioral Health Agency
- Wilkes Barre, PA
National Provider Identifier
1689505398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SG HEALTH CORPORATION
- Practice address
- 116 S Main St
Wilkes Barre, PA 18701-1606 - Phone
- (570) 905-3322
- NPI assigned
- May 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lake Ryan Gemzik
- Title
- President & Ceo
- Phone
- (570) 905-3322
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
116 S Main St
Wilkes Barre, PA 18701-1606
Mailing address
2 W Northampton St
Wilkes Barre, PA 18701-1708
Phone (570) 905-3322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1689505398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W NORTHAMPTON ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187011708",
"telephone_number": "570-905-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S MAIN ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187011606",
"telephone_number": "570-905-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SG HEALTH CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "GEMZIK",
"authorized_official_first_name": "LAKE RYAN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "570-905-3322"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.