NPIMap

Organization Active NPI

Gaudenzia, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norristown, PA
National Provider Identifier
1700051356
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GAUDENZIA, INC.
Practice address
166 W Main St
Norristown, PA 19401-4716
Phone
(610) 279-4262
Fax
(610) 278-1658
NPI assigned
Apr 24, 2008
Organization subpart
Yes
Parent organization
GAUDENZIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Mike Williams
Title
Contract Manager
Phone
(484) 338-3731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

166 W Main St
Norristown, PA 19401-4716

Mailing address

106 W Main St
Norristown, PA 19401-4716
Phone (610) 239-9600

Other practice location 1

55 E Marshall St
Norristown, PA 19401-4818
Phone (610) 279-4262

Other identifiers 1

IdentifierTypeStateIssuer
1002285890109MedicaidPA

Other names 1

  • Gaudenzia Montgomery County Op Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL wlevin@gaudenzia.org Direct
CONNECT URL www.gaudemzia.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Gaudenzia77 organizations share this tax ID, including this one
Part of
Gaudenzia

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1700051356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014716",
            "telephone_number": "610-239-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W MAIN ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014716",
            "telephone_number": "610-279-4262",
            "fax_number": "610-278-1658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194014818",
            "country_code": "US",
            "telephone_number": "610-279-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAUDENZIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAUDENZIA",
        "enumeration_date": "2008-04-24",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "484-338-3731"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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": "1002285890109",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wlevin@gaudenzia.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Norristown",
            "address_1": "166 W Main St",
            "city": "Norristown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194014716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gaudemzia.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Norristown",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Norristown",
            "address_1": "166 W Main St",
            "city": "Norristown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194014716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gaudenzia Montgomery County Op",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gaudenzia Montgomery County Op",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.