COUNTY OF OTSEGO (NPI# 1104925031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104925031 |
| Entity Type | Organization |
| Organization Name | COUNTY OF OTSEGO |
| Other Organization Name | OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC |
| Practice Address |
242 Main Street 2nd Floor Oneonta NY 13820-2527 |
| Practice Telephone | 6074311030 |
| Practice Fax Number | 6074311033 |
| Mailing Telephone | 6074311030 |
| Mailing Fax Number | 6074311033 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | MS. SUSAN A MATT (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Telephone | 6074332343 |
| Authorized Official Credential | LCSW/CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00583582 | 05 |
| Other Name | Type Code |
|---|---|
| Otsego County Chemical Dependencies Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891773701 | County of Otsego | Skilled Nursing Facility | 128 Phoenix Mills Cross Rd, Cooperstown, NY 13326-5716 | 2006-01-03 |
| 1093854564 | County of Otsego | Home Health | 128 Phoenix Mills Cross Rd, Cooperstown, NY 13326-5716 | 2007-02-05 |
| 1831145101 | County of Otsego | Clinic/Center | 242 Main St, Oneonta, NY 13820-2527 | 2006-05-26 |
| Street Address |
242 MAIN STREET, 2ND FLOOR |
| City | ONEONTA |
| State | NY |
| Zip Code | 13820-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949162 | Jeffrey Alan Cooke | Nurse Practitioner | 739 State Route 28, Suite 9, Oneonta, NY 13820 | 2020-07-07 |
| 1073072278 | Colleen Marie Cutting | Massage Therapist | 22 Watkins Ave, Suite 102, Oneonta, NY 13820 | 2019-03-18 |
| 1114491925 | Amy Lynne Fletcher-foster | Physical Therapist | 5588 Ny-7, Oneonta, NY 13820 | 2019-01-15 |
| 1114497443 | Cathryn Melissa Hassick | Registered Nurse | 130 East Street, Oneonta, NY 13820 | 2018-11-29 |
| 1043797673 | Shelly Ranae Ashley | Counselor | 242 Main St, Fl 1, Oneonta, NY 13820 | 2018-07-26 |
| 1528561834 | Kaitlin Imperato | Physical Therapist | 5649 Ny-7, Oneonta, NY 13820 | 2018-03-13 |
| 1619413838 | Chloe Zaengle | Occupational Therapist | 1 Norton Avenue, Oneonta, NY 13820 | 2017-01-11 |
| 1508308388 | Amanda Vanburen | Physician Assistant | 739 Nys Rt. 28, Suite 9, Oneonta, NY 13820 | 2016-11-10 |
| 1720477227 | Helaine Rita Feinberg | Speech-Language Pathologist | 105 Campus Drive, Oneonta, NY 13820 | 2015-01-21 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| Find all providers in zip 13820 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226074 | Apple Medical Systems Associates LLC | Clinic/Center | 2000 Maple Hill St Ste 100, Yorktown Heights, NY 10598-4176 | 2020-02-06 |
| 1851936363 | Behavioral Health Nyc Ipa, LLC | Clinic/Center | 8 W 86th St, New York, NY 10024-3629 | 2019-11-08 |
| 1487139218 | Thrivee Inc | Clinic/Center | 88 Remsen St, Cohoes, NY 12047-2981 | 2018-09-27 |
| 1972013084 | Professional Counseling Services, Inc | Clinic/Center | 5700 W Genesee St Ste 118, Camillus, NY 13031-3217 | 2017-10-03 |
| 1760831119 | Vasuli Inc | Clinic/Center | 325 W 45th St, 812, New York, NY 10036-4191 | 2016-06-07 |
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
| 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.