NORTH COUNTRY PSYCHIATRIC ASSOCIATES (NPI# 1043367535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043367535 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY PSYCHIATRIC ASSOCIATES |
| Practice Address |
80 East Main Street Suite 255 Canton NY 13617 |
| Practice Telephone | 3153799162 |
| Practice Fax Number | 3153799162 |
| Mailing Telephone | 3153799162 |
| Mailing Fax Number | 3153799162 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | COLLEEN LIVINGSTON (PSYCHIATRIST/OWNER) |
| Authorized Official Telephone | 3153799162 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
80 EAST MAIN STREET SUITE 255 |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902845621 | Kathleen M Terrence | Pediatrics | 80 East Main Street, Canton, NY 13617 | 2006-06-06 |
| 1760821417 | Canton-potsdam Medical Practice Pllc | Clinic/Center | 80 East Main Street, Canton, NY 13617 | 2013-06-17 |
| 1912277393 | Robin Eve Gatliardi | Counselor | 80 East Main Street, Suite 255, Canton, NY 13617 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003307810 | Lenzy Family Institute | Clinic/Center | 1930 Fulton Rd Nw Ste 103, Canton, OH 44709-3526 | 2018-05-29 |
| 1407976285 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-29 |
| 1053437384 | Josephine E. Glover, Dba | Clinic/Center | 2719 Cleveland Ave Nw, Canton, OH 44709-3309 | 2007-03-21 |
| 1831601913 | Peter Perrotta Ms., Lpc., Ladc., LLC | Clinic/Center | 50 Albany Tpke Ste 3010, Canton, CT 06019-2555 | 2017-10-30 |
| 1235477969 | Seeking Out Solutions | Clinic/Center | 259 Albany Tpke, Canton, CT 06019-2557 | 2013-01-31 |
| 1710238613 | Phoenix Rising Behavioral Healthcare and Recovery, Inc | Clinic/Center | 624 Market Ave N, Canton, OH 44702-1017 | 2012-10-02 |
| 1194045898 | Lutheran Social Services of Il | Clinic/Center | 700 E Oak St, Suite 203, Canton, IL 61520-3157 | 2010-06-03 |
| 1891906921 | Priority Care, Inc. | Clinic/Center | 1044 Lilly Ave Ne, Canton, OH 44730-1440 | 2007-05-24 |
| 1588784912 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-30 |
| 1962536854 | Human Development and Counseling Assoc Inc | Clinic/Center | 4792 Munson St Nw, Munson Professional Centre, Canton, OH 44718-3630 | 2007-03-15 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on NORTH COUNTRY PSYCHIATRIC ASSOCIATES.
| 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.