Organization Active NPI

Ellen Obrien Gaiser Addiction Center

  • Community/Behavioral Health Agency
  • Butler, PA
National Provider Identifier
1740467976
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
107025 Issued in PA
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01116440MedicaidPA
01724720MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
The Ellen O'Brien Gaiser Addiction Center Inc2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.