CENTRAL NY MENTAL HEALTH SERVICES (NPI# 1033353024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033353024 |
| Entity Type | Organization |
| Organization Name | CENTRAL NY MENTAL HEALTH SERVICES |
| Practice Address |
286 Genesee St Utica NY 13502-4639 |
| Practice Telephone | 3152660600 |
| Practice Fax Number | 3152660611 |
| Mailing Telephone | 3152660600 |
| Mailing Fax Number | 3152660611 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | DR. MINHAJ U SIDDIQI (OWNER) |
| Authorized Official Telephone | 3152660600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 232467 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02695325 | 05 |
| Street Address |
286 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245335298 | Mary Hunt-miller | Social Worker | 286 Genesee St, Utica, NY 13502-4639 | 2006-09-14 |
| 1336539527 | Cheryl Loomis | Psychologist | 286 Genesee St, Utica, NY 13502-4639 | 2015-01-27 |
| 1790107043 | Esmeldy Segura | Driver | 286 Genesee St, Utica, NY 13502-4639 | 2014-01-06 |
| 1114059102 | Robert Clifford Roback | Dentist | 286 Genesee St, Utica, NY 13502-4639 | 2007-03-12 |
| 1285776856 | James Joseph Roback | Dentist | 286 Genesee St, Utica, NY 13502-4639 | 2007-02-12 |
| 1639243504 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 286 Genesee St, Ste 3, Utica, NY 13502-4639 | 2006-11-20 |
| 1366529430 | Joseph Rocco Giovannone | Dentist | 286 Genesee St, The Dental Arts Office, Utica, NY 13502-4639 | 2006-11-01 |
| 1447337506 | Mike Joseph Fanelli | Dentist | 286 Genesee St, The Dental Arts Office, Utica, NY 13502-4639 | 2006-11-01 |
| 1760569867 | The Dental Arts Office | Dentist | 286 Genesee St, The Dental Arts Office, Utica, NY 13502-4639 | 2006-11-01 |
| 1922198266 | Frank Anthony Giovannone Jr. | Dentist | 286 Genesee St, The Dental Arts Office, Utica, NY 13502-4639 | 2006-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215226998 | Bruce S Martin | Behavioral Analyst | 712 Rutger St, Utica, NY 13501-2508 | 2011-04-01 |
| 1235604885 | Brianna Blancovich | Behavioral Analyst | 122 Business Park Dr, Utica, NY 13502-6321 | 2018-10-10 |
| 1174018600 | Adhd & Autism Psychological Services and Advocacy, Pllc | Behavioral Analyst | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2018-06-27 |
| 1023522521 | Kelberman Center, Inc | Behavioral Analyst | 2608 Genesee St, Utica, NY 13502-6003 | 2017-11-21 |
| 1831409663 | Adhd & Autism Psychological Services and Advocacy, Pllc | Behavioral Analyst | 122 Business Park Dr, Suite 1, Utica, NY 13502-6321 | 2010-10-14 |
| 1457676587 | Mary Beth Weston | Behavioral Analyst | 122 Business Park Dr, Suite 1, Utica, NY 13502-6321 | 2010-03-31 |
| 1245473008 | Shannon Shea Mcdonald | Behavioral Analyst | 1601 Armory Dr, Bldg C, Utica, NY 13501-5405 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437308 | Yasmin Elhendy | Behavioral Analyst | 14068a Burden Cres, Jamaica, NY 11435-2359 | 2020-11-04 |
| 1326649815 | James Sanborn | Behavioral Analyst | 2828 42nd St Apt A2, Astoria, NY 11103-2942 | 2020-11-03 |
| 1932709540 | Cassandra Jasmine Hyacinthe | Behavioral Analyst | 254 Benson Ave, Elmont, NY 11003-2317 | 2020-11-01 |
| 1174123012 | Claudia Olivia Obrycki | Behavioral Analyst | 6065 69th Ln, Maspeth, NY 11378-2911 | 2020-10-29 |
| 1629678024 | Maria Constantinidis | Behavioral Analyst | 18938 46th Ave, Flushing, NY 11358-3417 | 2020-10-27 |
| 1346840592 | Lindsey Jane Zenk | Behavioral Analyst | 116 Bayview Ave, East Islip, NY 11730-3806 | 2020-10-27 |
| 1033718598 | Ashley Rose Brill | Behavioral Analyst | 25 Anthony Dr Apt D209, Poughkeepsie, NY 12601-5578 | 2020-10-25 |
| 1154920809 | Neeti Sharma | Behavioral Analyst | 56 Scenic Dr, Poughkeepsie, NY 12603-5530 | 2020-10-23 |
| 1962001701 | Precious S Reid | Behavioral Analyst | 135 W 50th St Bsmt A, New York, NY 10020-1201 | 2020-10-22 |
| 1821697194 | Abraham Weiss | Behavioral Analyst | 1531 50th St, Brooklyn, NY 11219-3794 | 2020-10-19 |
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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.