COUNTY OF WAYNE (NPI# 1003824855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003824855 |
Entity Type | Organization |
Organization Name | COUNTY OF WAYNE |
Other Organization Name | WAYNE BEHAVIORAL HEALTH NETWORK |
Practice Address |
1519 Nye Road Lyons NY 14489 |
Practice Telephone | 3159465722 |
Practice Fax Number | 3159467079 |
Mailing Telephone | 3159465722 |
Mailing Fax Number | 3159467079 |
Enumeration Date | 2006-08-04 |
Last Update Date | 2013-03-26 |
Authorized Official Name | MR. JAMES M HAITZ (DIRECTOR OF COMMUNITY SERVICES) |
Authorized Official Telephone | 3159465722 |
Authorized Official Credential | LCSW-R |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
090511102 | NY | Ambulatory Health Care Facilities |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6898100A | NY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Wayne Behavioral Health Network | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114144847 | County of Wayne | Community/Behavioral Health | 1025 E Forest Ave, Building C, Detroit, MI 48207-1024 | 2007-04-20 |
1255479390 | County of Wayne | Case Management | 318 10th St, Honesdale, PA 18431-1919 | 2007-02-01 |
1811035199 | County of Wayne | Case Management | 323 10th St, Honesdale, PA 18431-1918 | 2007-02-01 |
1306984448 | County of Wayne | Public Health or Welfare | 648 Park St, Suite A, Honesdale, PA 18431-1446 | 2007-02-01 |
1568534717 | County of Wayne | Skilled Nursing Facility | 1529 Nye Rd, Lyons, NY 14489-9111 | 2006-11-14 |
1972602597 | County of Wayne | Home Health | 1519 Nye Rd., Suite 200, Lyons, NY 14489 | 2006-09-21 |
1447353727 | County of Wayne | Clinic/Center | 405 North Basin Road, Fairfield, IL 62837 | 2006-09-05 |
1588631980 | County of Wayne | Ambulance | 7336 Route 31, Lyons, NY 14489 | 2006-03-03 |
1871594622 | County of Wayne | Case Management | 301 N Herman St, Goldsboro, NC 27530-2973 | 2005-08-02 |
1073800983 | County of Wayne | Clinic/Center | 301 N Herman St, Goldsboro, NC 27530-2935 | 2011-06-30 |
Street Address |
1519 NYE ROAD |
City | LYONS |
State | NY |
Zip Code | 14489 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013192616 | Carmen Veronica Ocasio | Case Manager/Care Coordinator | 1519 Nye Road, Wbhn, Lyons, NY 14489-9112 | 2008-01-02 |
1285834499 | Kimberly Jean Golding Wagner | Social Worker | 1519 Nye Road, Lyons, NY 14489 | 2007-07-25 |
1477755064 | Ronald S Biviano | Psychiatry & Neurology | 1519 Nye Road, Lyons, NY 14489 | 2007-06-05 |
1629196175 | Mindy M Hawkins | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-26 |
1447375217 | Kim Saiazar Bautista | Social Worker | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-20 |
1336271428 | John R Allard | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
1417089517 | Nancy Sims | Counselor | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
1841322948 | James M Haitz | Social Worker | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
1821120916 | Beth L Bitonti | Registered Nurse | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
1164554242 | James Joseph Arena | Social Worker | 1519 Nye Road, Wayne Behavioral Health Network, Lyons, NY 14489 | 2007-03-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730645623 | Tracy Merlau | Social Worker | Wbhn, 1519 Nye Road, Suite 110, Lyons, NY 14489 | 2019-02-15 |
1871069005 | Mary P. Hutchings | Licensed Practical Nurse | 1489 Jackson Road, Lyons, NY 14489 | 2018-10-15 |
1235501529 | Connie Sue Fuller | Registered Nurse | 2104 Maple Street Rd, Lyons, NY 14489 | 2015-10-26 |
1033480645 | Kathleen R Hayes | Registered Nurse | 10 Clyde Rd., Lyons, NY 14489 | 2012-01-13 |
1871878751 | Amy H Smith | Psychologist | 1519 Nye Raod, Lyons, NY 14489 | 2011-10-11 |
1588996169 | Faith Erica Mcdonald | Licensed Practical Nurse | 12 Jacksn St, Apt 2, Lyons, NY 14489 | 2010-02-05 |
1255463261 | Nicole Jennifer Yager | Counselor | Wayne Behavioral Heatlh Network, 1519 Nye Road, Lyons, NY 14489 | 2007-03-12 |
1154466639 | Debra Lee Woodworth Fiori | Counselor | Wayne Behavioral Health Netowork, 1519 Nye Road, Lyons, NY 14489 | 2007-02-21 |
1124163829 | Joan M Kovachi | Registered Nurse | Wayne Behavioral Health Network, 1519 Nye Road, Lyons, NY 14489 | 2007-02-20 |
1306932645 | Kimberly F Mccaffrey | Speech-Language Pathologist | 159 Montezuma Street, Lyons, NY 14489 | 2006-10-05 |
Find all providers in zip 14489 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.