Active NPI
Ellen Obrien Gaiser Addiction Center
- Community/Behavioral Health Agency
- Butler, PA
National Provider Identifier
1740467976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 107025
- Legal business name
- ELLEN OBRIEN GAISER ADDICTION CENTER
- Practice address
- 315 Liberty Street
Butler, PA 16001-0000 - Phone
- (724) 256-8882
- Fax
- (724) 256-8879
- NPI assigned
- Jan 30, 2008
- Organization subpart
- Yes
- Parent organization
- ELLEN OBRIEN GAISER ADDICTION CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Ann Franiewski, MBA
- Title
- Executive Director
- Phone
- (724) 287-8205
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 107025 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 107025 | PA | Primary |
Addresses
Primary practice location
315 Liberty Street
Butler, PA 16001-0000
Mailing address
315 Liberty St
Butler, PA 16001-5803
Phone (724) 256-8882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01116440 | Medicaid | PA | |
| 01724720 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- The Ellen O'Brien Gaiser Addiction Center Inc
- Part of
- The Ellen O'Brien Gaiser Addiction Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Butler, PA
- NPI 1811051345
Locations
315 Liberty St
Butler, PA 16001
Phone (724) 256-8882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240963200000",
"number": "1740467976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 LIBERTY ST",
"city": "BUTLER",
"state": "PA",
"postal_code": "160015803",
"telephone_number": "724-256-8882",
"fax_number": "724-256-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 LIBERTY STREET",
"city": "BUTLER",
"state": "PA",
"postal_code": "160010000",
"telephone_number": "724-256-8882",
"fax_number": "724-256-8879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLEN OBRIEN GAISER ADDICTION CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELLEN OBRIEN GAISER ADDICTION CENTER",
"enumeration_date": "2008-01-30",
"last_updated": "2009-04-29",
"status": "A",
"authorized_official_last_name": "FRANIEWSKI",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "724-287-8205",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "107025",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "107025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01116440",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01724720",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.