NPIMap

Organization Active NPI

Northumberland County Mental Health Mental Retardation Program

  • Case Management Agency
  • Sunbury, PA
National Provider Identifier
1790767655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NORTHUMBERLAND COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Practice address
217 N Center St
BLDG a
Sunbury, PA 17801-2205
Phone
(570) 495-2212
Fax
(570) 988-4444
NPI assigned
Nov 16, 2005
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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

217 N Center St
BLDG a
Sunbury, PA 17801-2205

Mailing address

217 N Center St
BLDG a
Sunbury, PA 17801-2205
Phone (570) 495-2212

Other identifiers 1

IdentifierTypeStateIssuer
1007378070011MedicaidPA

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": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790767655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "address_2": "BLDG A",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2212",
            "fax_number": "570-988-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N CENTER ST",
            "address_2": "BLDG A",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012205",
            "telephone_number": "570-495-2212",
            "fax_number": "570-988-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHUMBERLAND COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007378070011",
            "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.