NPIMap

Organization Active NPI

Northumberland County MHMR Program

  • Community/Behavioral Health Agency
  • Sunbury, PA
National Provider Identifier
1770784340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PENDING Issued in PA
Legal business name
NORTHUMBERLAND COUNTY MHMR PROGRAM
Practice address
217 N Center St
Sunbury, PA 17801-2205
Phone
(570) 495-2002
Fax
(570) 988-4444
NPI assigned
May 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judith C Davis
Title
Administrator
Phone
(570) 495-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PENDING PA Primary

Addresses

Primary practice location

217 N Center St
Sunbury, PA 17801-2205

Mailing address

217 N Center St
Sunbury, PA 17801-2205
Phone (570) 495-2002

Other identifiers 1

IdentifierTypeStateIssuer
1007378070036MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Northumberland County Mental Health Mental Retardation Program11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770784340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2002",
            "fax_number": "570-988-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2002",
            "fax_number": "570-988-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHUMBERLAND COUNTY MHMR PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-495-2002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007378070036",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.