{
"Npi": {
"NPI": "1437221355",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALCOHOLISM & SUBSTANCE ABUSE COUNCIL OF SCHENECTADY COUNTY, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "728 STATE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCHENECTADY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12307-1206",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-346-4436",
"MailingAddressFaxNumber": "518-346-3522",
"FirstLinePracticeLocationAddress": "728 STATE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCHENECTADY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12307-1206",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-346-4436",
"PracticeLocationAddressFaxNumber": "518-346-3522",
"EnumerationDate": "11/15/2006",
"LastUpdateDate": "06/18/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COMBS",
"AuthorizedOfficialFirstName": "LAURA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW-R, CASAC-MC",
"AuthorizedOfficialTelephoneNumber": "518-346-4436",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QR0401X",
"TaxonomyName": "Comprehensive Outpatient Rehabilitation Facility (CORF)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QR0401X",
"TaxonomyName": "Comprehensive Outpatient Rehabilitation Facility (CORF)",
"LicenseNumber": "080210589",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}