THE CHILDRENS HM JEFFERSON MH (NPI# 1770625527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770625527 |
| Entity Type | Organization |
| Organization Name | THE CHILDRENS HM JEFFERSON MH |
| Practice Address |
167 Polk St Suite 300 Watertown NY 13601-2763 |
| Mailing Address |
1704 State St Watertown NY 13601-3102 |
| Practice Telephone | 3157791507 |
| Mailing Telephone | 3157887430 |
| Mailing Fax Number | 3157855637 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PEG DUPRE (ACCOUNTANT) |
| Authorized Official Telephone | 3157887430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02502243 | 05 |
| Street Address |
167 POLK ST SUITE 300 |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346771110 | Livia Margaret Kubica | Social Worker | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2017-03-23 |
| 1043754864 | Shay Eileen Park Richards | Social Worker | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-12-13 |
| 1184176273 | David Hall | Social Worker | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-10-25 |
| 1144770637 | Angela Matthews | Student in an Organized Health Care Education/Training Program | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-10-07 |
| 1528517174 | Brenda Bonnie Messer | Social Worker | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-09-23 |
| 1154877546 | Kristen M Martin | Counselor | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-08-26 |
| 1902351802 | Shannon Huntsman | Student in an Organized Health Care Education/Training Program | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-08-20 |
| 1891249066 | Angela Steffan Nasworthy | Student in an Organized Health Care Education/Training Program | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-08-05 |
| 1518411784 | Olga Harbuz | Student in an Organized Health Care Education/Training Program | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-08-05 |
| 1609320993 | Cassondra Davis | Student in an Organized Health Care Education/Training Program | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679001929 | Adhd Educational Services | Case Management | 259 Thompson Blvd, Watertown, NY 13601-4123 | 2017-05-31 |
| 1184027955 | Northern Regional Center for Independent Living | Case Management | 210 Court St Ste 107, Watertown, NY 13601-4547 | 2014-10-07 |
| 1720123888 | Springwell, Inc | Case Management | 125 Walnut St, Watertown, MA 02472-4052 | 2007-02-20 |
| 1407907215 | Planned Parenthood of The North Country New York, Inc. | Case Management | 160 Stone St, Watertown, NY 13601-3250 | 2007-01-16 |
| 1215481031 | Human Service Agency | Case Management | 123 19th St Ne, Watertown, SD 57201-2823 | 2016-08-10 |
| 1689060774 | Asperger/autism Network Inc. | Case Management | 51 Water St, Suite 206, Watertown, MA 02472-4611 | 2015-04-15 |
| 1003134875 | Springwell | Case Management | 125 Walnut St, Watertown, MA 02472-4052 | 2010-05-04 |
| 1457532665 | Springwell Inc | Case Management | 125 Walnut St, Watertown, MA 02472-4052 | 2007-11-15 |
| 1639396559 | Jefferson County Community Services | Case Management | 175 Arsenal St, Watertown, NY 13601-2528 | 2007-04-20 |
| 1134243785 | Springwell | Case Management | 125 Walnut St, Watertown, MA 02472-4052 | 2007-03-19 |
| Find all providers in WATERTOWN | ||||
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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.