APPLEGATE RECOVERY WILLIAMSPORT
NPI 1588905723
Family Medicine - Addiction Medicine in Williamsport, PA

Active since March 13, 2013CLIA Certified · 3 labs
1101 E 3RD ST, WILLIAMSPORT, PA 17701(570) 505-3180(570) 505-3184 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Applegate Recovery Williamsport NPPES

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

APPLEGATE RECOVERY WILLIAMSPORT (NPI 1588905723) is a healthcare organization registered as an addiction medicine in Williamsport, Pennsylvania and active in the NPI registry since March 2013. The organization holds 3 active CLIA laboratory certificates and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1588905723
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameFAMILY RECOVERY, LLC
Location Address1101 E 3RD STWilliamsport, PA 17701-5411
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300
Fax(570) 505-3184
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateMarch 13, 2013
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1588905723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Licenses Licensed in PA · MD042726L Licensed in PA · OS014721
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X · License MD042726L (PA)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License MD042726L (PA)
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License MD443569 (PA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD042726L
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License MD018954E (PA)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License MD045007L (PA)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD036563L (PA)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License MD443569 (PA)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License MD039704E (PA)
Also ListedHospitalistTaxonomy 208M00000X · License MD433062 (PA)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License MD042726L (PA)
1101 E 3RD ST, Williamsport, PA 17701

Other Names 1

Doing Business AsApplegate Recovery Williamsport

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 39D2167161

Family Recovery, LLC Applegate Recovery Mt Carmel · Mt Carmel, PA
Active · expires Jun 3, 2027
CLIA Number39D2167161
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorDr. Gregory Famiglio
Laboratory Phone(570) 505-3180
Laboratory LocationFamily Recovery, LLC Applegate Recovery Mt Carmel11603 State Route 61, Mt Carmel, PA 17851
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2167165

Family Recovery, LLC Applegate Recovery Mansfield · Mansfield, PA
Active · expires Jun 3, 2027
CLIA Number39D2167165
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorDr. Gregory Famiglio
Laboratory Phone(570) 505-3180
Laboratory LocationFamily Recovery, LLC Applegate Recovery Mansfield2418 South Main Street, Mansfield, PA 16933
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2090129

Family Recovery, LLC · Williamsport, PA
Active · expires Jan 14, 2027
CLIA Number39D2090129
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. Gregory Famiglio
Laboratory Phone(570) 505-3180
Laboratory LocationFamily Recovery, LLC1101 East Third Street, Williamsport, PA 17701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physical Therapist
1101 E 3RD ST
WILLIAMSPORT, PA 17701
Durable Medical Equipment & Medical Supplies
1101 E 3RD ST
WILLIAMSPORT, PA 17701
General Practice
1101 E 3RD ST
WILLIAMSPORT, PA 17701
Psychiatry & Neurology (Psychiatry)
1101 E 3RD ST, FAMILY RECOVEREY SOLUTIONS
WILLIAMSPORT, PA 17701
Technician, Other
1101 E 3RD ST
WILLIAMSPORT, PA 17701
Chiropractor
1101 E 3RD ST
WILLIAMSPORT, PA 17701
Family Medicine (Addiction Medicine)
1101 E 3RD ST
WILLIAMSPORT, PA 17701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Recovery, LLC's NPI number?

The NPI number for Family Recovery, LLC is 1588905723. It was assigned to this organization in the NPPES registry on March 13, 2013. The provider is doing business as Applegate Recovery Williamsport.

Where is Family Recovery, LLC located?

Family Recovery, LLC is located at 1101 E 3rd St, Williamsport, PA 17701. The listed phone number is (570) 505-3180.

What is Family Recovery, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Family Recovery, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Family Recovery, LLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.