Wyoming County Special Needs Association

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WYOMING COUNTY SPECIAL NEEDS ASSOCIATION

Practice address

636 Sr 29 N
Tunkhannock, PA 18657-7113

Phone

(570) 996-6222

Fax

(570) 996-6223

NPI assigned

Mar 14, 2014

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Burke, LSW

Title

Ceo

Phone

(570) 996-6222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1790101798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 SR 29 N",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577113",
            "telephone_number": "570-996-6222",
            "fax_number": "570-996-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SR 29 N",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577113",
            "telephone_number": "570-996-6222",
            "fax_number": "570-996-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING COUNTY SPECIAL NEEDS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-996-6222",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilkes Barre Behavioral Hospital Company LLC (Community Counseling Services of NEPA)
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• Williams Primary Care PC
• Daniel C Williams, MD
• Renee S. Winter-Bertsch, R.D.
• Mary Alexis R. Yang, MD
• Jessica Ann Yerke
• Youngs Apothecary Inc (Tunkhannock Compounding Center)
• Aziza Yuldasheva, MD
• Morgan Zielen, MA, LPC

• Community/Behavioral Health Agency in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.