MADISON COUNTY MENTAL HEALTH DEPARTMENT-ADAPT (NPI# 1073629358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073629358 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY MENTAL HEALTH DEPARTMENT-ADAPT |
| Practice Address |
138 North Court Street Wampsville NY 13163-0608 |
| Practice Telephone | 3153662327 |
| Practice Fax Number | 3153662599 |
| Mailing Telephone | 3153662327 |
| Mailing Fax Number | 3153662599 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | GARY R ROBERTS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3153662327 |
| Authorized Official Credential | CASAC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00569860 | 05 |
| Street Address |
138 NORTH COURT STREET |
| City | WAMPSVILLE |
| State | NY |
| Zip Code | 13163-0608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437196227 | Amintha M. Selvarajah | Physician Assistant | 138 North Court Street, Wampsville, NY 13163-0608 | 2006-06-01 |
| 1003365792 | Stephanie Ann Thompson | Social Worker | 138 North Court Street, Wampsville, NY 13163 | 2016-09-23 |
| 1922495282 | Kathryn Elizabeth Scheirer | Social Worker | 138 North Court Street, Wampsville, NY 13163-0608 | 2015-04-23 |
| 1043603822 | Alexa Brayman | Social Worker | 138 North Court Street, #7, Wampsville, NY 13163 | 2015-03-18 |
| 1750785622 | Kimberly Wallace | Licensed Practical Nurse | 138 North Court Street, Wampsville, NY 13163 | 2014-10-21 |
| 1588905327 | Kirin A Quonce | Social Worker | 138 North Court Street, Veterans Memorial Building, Wampsville, NY 13163 | 2013-03-04 |
| 1770848152 | Shelley Petersen | Specialist | 138 North Court Street, Wampsville, NY 13163-0605 | 2012-07-11 |
| 1700148079 | Lori Brockway | Case Manager/Care Coordinator | 138 North Court Street, Wampsville, NY 13163-0605 | 2012-06-13 |
| 1336428259 | Shannon K Birmingham | Psychologist | 138 North Court Street, Wampsville, NY 13163-0608 | 2011-08-09 |
| 1346542198 | Stephanie Ann Anderson | Social Worker | 138 North Court Street, Wampsville, NY 13163-0608 | 2010-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824462 | Beth Perry | Social Worker | 138 N Court Street, Wampsville, NY 13163 | 2014-09-18 |
| 1659529949 | Timothy Gerard Brown | Social Worker | 138 N. Court St, Wampsville, NY 13163 | 2008-08-29 |
| 1477752376 | Muftah A. Kadura, Md | Internal Medicine | 235 Genesee St, Wampsville, NY 13163 | 2007-07-12 |
| 1881719888 | Kenneth Edward Hefty | Counselor | 138 North Court Rd, Wampsville, NY 13163 | 2007-03-20 |
| 1518990811 | Denise Michelle Calcagnino | Counselor | Veterans Memorial Building, North Court Street, Wampsville, NY 13163 | 2006-07-09 |
| 1871157065 | Mallory Kleps | Counselor | 138 N Court St, Wampsville, NY 13163 | 2019-04-24 |
| 1861968968 | Mark James Miller | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2018-10-17 |
| 1881194611 | Christina Labella | Counselor | 138 N. Court Street, Wampsville, NY 13163 | 2018-02-19 |
| 1083143358 | Megan Mcpeak | Social Worker | 138 N. Court St., Wampsville, NY 13163 | 2017-06-08 |
| 1568999175 | Madison County Health Deptartment | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2017-05-12 |
| Find all providers in zip 13163 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | WAMPSVILLE |
| Zip Code | 13163 |
Please comment or provide details below to improve the information on MADISON COUNTY MENTAL HEALTH DEPARTMENT-ADAPT.
| 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.