Organization Active NPI

Economic Opportunity Program

  • Addiction (Substance Use Disorder) Counselor
  • Elmira, NY
National Provider Identifier
1770793341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ECONOMIC OPPORTUNITY PROGRAM
Practice address
350 Baldwin St.
Elmira, NY 14901
Phone
(607) 734-6174
NPI assigned
May 23, 2007
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
Maryann Bryant
Title
Family Development Deputy Director
Phone
(607) 734-6174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X NY Primary

Addresses

Primary practice location

350 Baldwin St.
Elmira, NY 14901

Mailing address

350 Baldwin St.
Elmira, NY 14901
Phone (607) 734-6174

Other identifiers 1

IdentifierTypeStateIssuer
00689661MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Economic Opportunity Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770793341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BALDWIN ST.",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-734-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BALDWIN ST.",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-734-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMIC OPPORTUNITY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "FAMILY DEVELOPMENT DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "607-734-6174"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00689661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

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.