CITIZEN ADVOCATES, INC (NPI# 1477765733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477765733 |
| Entity Type | Organization |
| Organization Name | CITIZEN ADVOCATES, INC |
| Other Organization Name | ICC WEBSTER ST TRMT APT JUNCTION |
| Practice Address |
209 Park Street Malone NY 12953 |
| Mailing Address |
Po Box 608 209 Park Street Malone NY 12953-0608 |
| Practice Telephone | 5184831251 |
| Practice Fax Number | 5184832242 |
| Mailing Telephone | 5184831251 |
| Mailing Fax Number | 5184832242 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GREGORY I LANGDON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5184831251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 7533430 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01303777 | 05 |
| Other Name | Type Code |
|---|---|
| ICC WEBSTER ST TRMT APT JUNCTION | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518170307 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-08 |
| 1730391012 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1568674893 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1912119272 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1902018237 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1679785273 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953-0608 | 2007-05-04 |
| 1154533768 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-04 |
| 1780619064 | Citizen Advocates, Inc | Clinic/Center | 209 Park St, Malone, NY 12953-4502 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CITIZEN ADVOCATES, INC. | 125 Finney Blvd., P.o. Box 608, Malone, Ny 12953 |
| Street Address |
209 PARK STREET |
| City | MALONE |
| State | NY |
| Zip Code | 12953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982717203 | Stacy Danielle Jones | Counselor | 209 Park Street, Malone, NY 12953 | 2006-08-17 |
| 1275986028 | Christine Hanna | Counselor | 209 Park Street, Malone, NY 12953 | 2016-07-18 |
| 1427391184 | Vipasha Agnihotri Gupta | Social Worker | 209 Park Street, Malone, NY 12953 | 2013-04-01 |
| 1801046370 | Nicole M Soulia | Counselor | 209 Park Street, North Star Behavioral Health Services, Malone, NY 12953 | 2008-09-22 |
| 1518170307 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-08 |
| 1780896019 | Citizen Advocates Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1598977829 | Citizen Advocates Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1548472871 | Citizen Advocates Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1730391012 | Citizen Advocates, Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| 1831301167 | Citizen Advocates Inc | Clinic/Center | 209 Park Street, Malone, NY 12953 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1922661784 | Greater Horizons, House Inc. | Community Based Residential Treatment Facility, Mental Illness | 25 Indian Rd Apt 6f, New York, NY 10034-1018 | 2019-04-17 |
| 1013474113 | Hope House On Crotona Park, LLC | Community Based Residential Treatment Facility, Mental Illness | 853 Crotona Park N, Bronx, NY 10460-4701 | 2019-02-25 |
| 1457825135 | Eating Disorder Treatment of New York, LLC | Community Based Residential Treatment Facility, Mental Illness | 1 Saint Andrews Ln, Glen Cove, NY 11542-2221 | 2019-01-16 |
| 1679011530 | Nando Pelusi, Phd | Community Based Residential Treatment Facility, Mental Illness | 305 Hicks Street, 2, Brookyn, NY 11201 | 2017-02-10 |
| 1245684729 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 138 W 143rd St, New York, NY 10030-1615 | 2016-04-20 |
| 1205280955 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 22 Convent Ave, New York, NY 10027-2604 | 2016-04-19 |
| 1245602838 | Nyeshia Skipwith | Community Based Residential Treatment Facility, Mental Illness | 37 Titmus Dr, Mastic, NY 11950-2011 | 2015-10-22 |
| 1447663067 | 187 Cottage Avenue Corp | Community Based Residential Treatment Facility, Mental Illness | 187 Cottage Ave, Mount Vernon, NY 10550-1446 | 2014-06-11 |
| 1235542135 | Erin Faryna | Community Based Residential Treatment Facility, Mental Illness | 51 Rossler Ave, Cheektowaga, NY 14206-2409 | 2014-06-09 |
| 1508280504 | Advanced Therapeutic Solutions | Community Based Residential Treatment Facility, Mental Illness | 1731 61st St Apt 4, Brooklyn, NY 11204-2219 | 2014-02-11 |
| 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.