SDTC THE CENTER FOR DISCOVERY (NPI# 1114084969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114084969 |
| Entity Type | Organization |
| Organization Name | SDTC THE CENTER FOR DISCOVERY |
| Other Organization Name | MULBERRY ICF |
| Practice Address |
Benmosche Rd Harris NY 12754-0840 |
| Mailing Address |
Po Box 840 Harris NY 12742-0840 |
| Practice Telephone | 8457941400 |
| Mailing Telephone | 8457941400 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CLAUDE D'ALESSANDRO (VP OF FINANCE) |
| Authorized Official Telephone | 8457941400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OPERATING CERTIFICATE | 7467480 | 01 |
| NY | 02516287 | 05 |
| Other Name | Type Code |
|---|---|
| Mulberry ICF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619280856 | Sdtc The Center for Discovery | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 74 Tekene Road, Monticello, NY 12701 | 2010-07-16 |
| 1104158666 | Sdtc The Center for Discovery | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 86 Tekene Rd, Monticello, NY 12701 | 2010-02-09 |
| 1013246933 | Sdtc The Center for Discovery | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Tekene Rd, Monticello, NY 12701 | 2009-12-24 |
| 1598093213 | Sdtc The Center for Discovery | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 90 Takene Road, Monticello, NY 12701 | 2009-11-19 |
| 1780912402 | Sdtc The Center for Discovery | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 96 Takene Road, Monticello, NY 12701 | 2009-11-19 |
| 1457547515 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | 16 Unami Circle, Monticello, NY 12701 | 2007-09-21 |
| 1265628325 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | 18 Unami Circle, Monticello, NY 12701 | 2007-09-21 |
| 1639365927 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | 8 Unami Circle, Monticello, NY 12701 | 2007-09-20 |
| 1942496484 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | 6 Unami Circle, Monticello, NY 12701 | 2007-09-19 |
| 1275690026 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | 31 Holmes Rd, Monticello, NY 12701 | 2007-01-02 |
| Street Address |
BENMOSCHE RD |
| City | HARRIS |
| State | NY |
| Zip Code | 12754-0840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003972266 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1346307337 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2007-01-02 |
| 1902963754 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2007-01-02 |
| 1013073287 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1184780595 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1427114982 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1578629929 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1861558116 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1508922881 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1639235948 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12758-0840 | 2006-12-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
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| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780844514 | Sdtc The Center for Discovery Inc | Intermediate Care Facility, Mentally Retarded | Ben Mosche Rd, Harris, NY 12742 | 2008-06-16 |
| 1003972266 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1508026337 | Sdtc The Center for Discovery Inc | Intermediate Care Facility, Mentally Retarded | Ben Mosche Rd, Harris, NY 12742 | 2008-06-16 |
| 1346307337 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2007-01-02 |
| 1902963754 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2007-01-02 |
| 1013073287 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1184780595 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1427114982 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1578629929 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
| 1861558116 | Sdtc The Center for Discovery | Intermediate Care Facility, Mentally Retarded | Benmosche Rd, Harris, NY 12742-0840 | 2006-12-29 |
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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.