Provider Demographics
NPI:1568525418
Name:NORTHPOINTE COUNCIL, INC.
Entity Type:Organization
Organization Name:NORTHPOINTE COUNCIL, INC.
Other - Org Name:ALCOHOLISM COUNCIL IN NIAGARA COUNTY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHUBSDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-282-1228
Mailing Address - Street 1:800 MAIN ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-1143
Mailing Address - Country:US
Mailing Address - Phone:716-282-1228
Mailing Address - Fax:716-282-1238
Practice Address - Street 1:800 MAIN ST STE 2A
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1143
Practice Address - Country:US
Practice Address - Phone:716-282-1228
Practice Address - Fax:716-282-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040403005620OtherFIDELUS
NY8401643OtherINDEPENDENT HEALTH
NY00011333901OtherUNIVERA
NY000000817000OtherBLUE CROSS BLUE SHIELD
NY00932467Medicaid