ERIE COUNTY SOUTHEAST CORP V (NPI# 1376890798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376890798 |
| Entity Type | Organization |
| Organization Name | ERIE COUNTY SOUTHEAST CORP V |
| Other Organization Name | SPECTRUM HUMAN SERVICES |
| Practice Address |
505 Delaware Ave Buffalo NY 14202-1309 |
| Mailing Address |
Box 631 227 Thorn Avenue Orchard Park NY 14202 |
| Practice Telephone | 7166622040 |
| Practice Fax Number | 7166620019 |
| Mailing Telephone | 7166622040 |
| Mailing Fax Number | 7166620019 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | BRUCE C. NISBET (PRESIDENT./CEO) |
| Authorized Official Telephone | 7166622040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Spectrum Human Services | Doing Business As Name - Organization |
| Street Address |
505 DELAWARE AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14202-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730318072 | East Coast Orthotic & Prosthetic Corp | Durable Medical Equipment & Medical Supplies | 505 Delaware Ave, Buffalo, NY 14202-1309 | 2009-07-08 |
| 1285243766 | Megan Gayle Crawley | Specialist/Technologist | 505 Delaware Ave, Buffalo, NY 14202-1309 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
| 1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
| 1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
| Find all providers in zip 14202 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121384 | Shawn M. Montgomery Community Health Services | Community/Behavioral Health | 567 Exchange St Ste 205, Buffalo, NY 14210-1368 | 2017-01-21 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1023234168 | Pcc, Inc | Community/Behavioral Health | 7 Hwy 55 West, Buffalo, MN 55313 | 2007-04-17 |
| 1427130889 | M A Stutzman Addiction Treatment Center | Community/Behavioral Health | 360 Forest Avenue, Buffalo, NY 14213-1298 | 2006-10-19 |
| 1962596718 | Catholic Charities of Buffalo | Community/Behavioral Health | 76 W. Humboldt Parkway, Buffalo, NY 14214 | 2006-10-03 |
| 1770103673 | Say Yes Buffalo Scholarship, Inc. | Community/Behavioral Health | 712 Main St, Buffalo, NY 14202-1720 | 2020-04-21 |
| 1558880492 | First Empowerment Wraparound LLC | Community/Behavioral Health | 155 E Keays St, Buffalo, WY 82834-1900 | 2017-09-12 |
| 1396263067 | Hope Anne Donahue | Community/Behavioral Health | 155 E Keays St, Buffalo, WY 82834-1900 | 2017-09-01 |
| 1922550094 | Buffalo Psychiatric Center | Community/Behavioral Health | 400 Forest Ave, Buffalo, NY 14213-1207 | 2016-10-25 |
| 1710434881 | Families' Child Advocacy Network,inc. | Community/Behavioral Health | 135 Delaware Ave, Suite 307, Buffalo, NY 14202-2416 | 2016-09-07 |
| Find all providers in BUFFALO | ||||
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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.