THE WILLIAM GEORGE AGENCY
NPI 1588714265
Residential Treatment Facility, Emotionally Disturbed Children in Freeville, NY

Q: What is The William George Agency's NPI number?

The NPI number for The William George Agency is 1588714265. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider was formerly known as The George Junior Republic.

Q: What is The William George Agency's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since January 12, 2007CLIA 33D2158000 · Waiver

380 FREEVILLE RD, FREEVILLE, NY 13068(607) 844-6210(607) 844-4991 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About The William George Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE WILLIAM GEORGE AGENCY (NPI 1588714265), doing business as The George Junior Republic, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Freeville, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Scott Adams, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1588714265

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameTHE WILLIAM GEORGE AGENCY

Location Address380 FREEVILLE RDFreeville, NY 13068-9684

Mailing Address380 Freeville RdFreeville, NY 13068-9684 · (607) 844-6210 · Fax (607) 844-4991

Phone(607) 844-6210

Fax(607) 844-4991

Organization SubpartNo

Authorized OfficialScott AdamsBusiness Manager · (607) 844-6210

Enumeration DateJanuary 12, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1588714265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

380 FREEVILLE RD, Freeville, NY 13068

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Other Names 1

Former Legal Business NameThe George Junior Republic

Other Identifiers 2

Medicaid00353562NY

Medicaid02077741NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2158000

The William George Agency - Chemical Dependency Program · Freeville, NY

Active · expires Mar 26, 2027

CLIA Number33D2158000

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateNovember 19, 2018

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. William C. Shepard

Laboratory Phone(607) 844-6490

Laboratory LocationThe William George Agency - Chemical Dependency Program380 Freeville Rd, Freeville, NY 13068

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA REGIS BSCJS, OWDS

Counselor