ONONDAGA CASE MANAGEMENT SERVICES INC. (NPI# 1538657259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538657259 |
| Entity Type | Organization |
| Organization Name | ONONDAGA CASE MANAGEMENT SERVICES INC. |
| Other Organization Name | CIRCARE |
| Practice Address |
620 Erie Blvd W Ste 302 Syracuse NY 13204-2463 |
| Practice Telephone | 3154727363 |
| Mailing Telephone | 3154727363 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | SCOTT EBNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3154727363 |
| Is Organization Subpart | Y |
| Parent Organization Name | ONONDAGA CASE MANAGEMENT SERVIUCES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02382218 | 05 |
| Other Name | Type Code |
|---|---|
| Circare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235184235 | Onondaga Case Management Services Inc. | Psychologist | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2006-05-24 |
| 1699250696 | Onondaga Case Management Services Inc. | Community/Behavioral Health | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-09-26 |
| 1629566344 | Onondaga Case Management Services Inc. | Community/Behavioral Health | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-04-27 |
| 1497252563 | Onondaga Case Management Services Inc. | Clinic/Center | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2018-04-06 |
| Street Address |
620 ERIE BLVD W STE 302 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235184235 | Onondaga Case Management Services Inc. | Psychologist | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2006-05-24 |
| 1699250696 | Onondaga Case Management Services Inc. | Community/Behavioral Health | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-09-26 |
| 1093293383 | Billy Manuel | Registered Nurse | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-07-30 |
| 1629566344 | Onondaga Case Management Services Inc. | Community/Behavioral Health | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
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| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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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.