ONONDAGA CASE MANAGEMENT SERVICES INC. (NPI# 1629566344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629566344 |
| 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 SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 1538657259 | Onondaga Case Management Services Inc. | Clinic/Center | 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 |
| 1538657259 | Onondaga Case Management Services Inc. | Clinic/Center | 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 |
| Find all providers in zip 13204 | ||||
| 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 |
|---|---|---|---|---|
| 1801334024 | Anne E. Kearney | Community/Behavioral Health | 229 Robineau Rd, Syracuse, NY 13207-1643 | 2017-02-08 |
| 1336687490 | Nustep Professional Counseling Services | Community/Behavioral Health | 505 E Fayette St, Suite 216, Syracuse, NY 13202-1975 | 2017-02-08 |
| 1245786557 | Darwin P. Crosland / Abundant Life Social Services | Community/Behavioral Health | 2813 S 2400 W, Syracuse, UT 84075-8669 | 2016-08-27 |
| 1518190602 | Central New York Services | Community/Behavioral Health | 375 W. Onondaga St, Suite 10, Syracuse, NY 13202-1888 | 2009-08-24 |
| 1205031598 | The Salvation Army | Community/Behavioral Health | 677 South Salina Street, Syracuse, NY 13202 | 2007-06-18 |
| 1972144772 | Liberty Resources, Inc. | Community/Behavioral Health | 1045 James St, Syracuse, NY 13203-2730 | 2019-10-02 |
| 1396209714 | Julie Chilson | Community/Behavioral Health | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-01-30 |
| 1699250696 | Onondaga Case Management Services Inc. | Community/Behavioral Health | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-09-26 |
| 1336686393 | Liberty Resources Inc. | Community/Behavioral Health | 1045 James St, Syracuse, NY 13203-2730 | 2017-01-27 |
| 1962875484 | Hutchings Psychiatric Center | Community/Behavioral Health | 650 Madison St, Syracuse, NY 13210-2319 | 2015-11-05 |
| Find all providers in SYRACUSE | ||||
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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.