DEPARTMENT OF VETERANS AFFAIRS


Address: 3372 State Route 11, Malone, NY 12953-4712
Phone: 5184831529

DEPARTMENT OF VETERANS AFFAIRS (NPI# 1194976274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194976274
Entity Type Organization
Organization Name DEPARTMENT OF VETERANS AFFAIRS
Practice Address 3372 State Route 11
Malone
NY 12953-4712
Practice Telephone 5184831529
Mailing Telephone 5184831529
Enumeration Date 2008-10-07
Last Update Date 2008-10-07
Authorized Official Name MRS. JAMIE ELLIS (ACTING BH IN PRIMARY CARE LEAD)
Authorized Official Telephone 5186265404
Authorized Official Credential NPP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 069540 NY Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124464086 Department of Veterans Affairs Clinic/Center 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 2013-05-20
1962740662 Department of Veterans Affairs Military Hospital 437 E Mohave Rd, Tucson, AZ 85705-3627 2013-01-30
1770839540 Department of Veterans Affairs Psychiatric Hospital 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 2012-07-31
1255617676 Department of Veterans Affairs Military Hospital 3022 Heritage Creek Oaks, Houston, TX 77008-6156 2011-10-31
1750687414 Department of Veterans Affairs Clinic/Center Casia 10, San Juan, PR 00926-0926 2011-01-28
1740580828 Department of Veterans Affairs General Acute Care Hospital 23809 E Silsby Rd, Beachwood, OH 44122-1271 2010-10-23
1306170295 Department of Veterans Affairs Clinic/Center 99 River Rd, Lincoln, ME 04457-4012 2009-09-24
1033358239 Department of Veterans Affairs Military Hospital 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 2009-02-11
1053560540 Department of Veterans Affairs General Acute Care Hospital 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 2008-09-09
1992968663 Department of Veterans Affairs Psychiatric Hospital 860 Chalkstone Ave, Providence, RI 02902-0001 2008-07-03

Office Location

Street Address 3372 STATE ROUTE 11
City MALONE
State NY
Zip Code 12953-4712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144690041 Christin Bell Physician Assistant 3372 State Route 11, Suite H- Cedar Commons, Malone, NY 12953-4735 2015-10-05
1811124779 Todd J Asselin Social Worker 3372 State Route 11, Malone, NY 12953-4712 2009-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386264356 Ruth Ann Williamson Nurse Practitioner 31 Sixth St., Malone, NY 12953 2020-04-20
1780203760 Heather Lynn Lauzon Peer Specialist 15 Fouth St, Malone, NY 12953 2020-04-10
1245717115 Darlean James Family Medicine 183 Park St Ste 5678, Malone, NY 12953 2018-07-24
1164929212 Cheryl Ann Grant Registered Nurse 15 Fourth Street, Malone, NY 12953 2018-04-06
1811408826 Nancy Denis Registered Nurse 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 2017-10-17
1003325424 Tara Lynn Ellis Registered Nurse 23 Husky Lane, Malone, NY 12953 2017-09-28
1578092185 Shanna Lee Cayea Peer Specialist 31 6th Street, Malone, NY 12953 2017-06-07
1184007809 Alice Hyde Medical Center Home Health 45 Sixth St, Malone, NY 12953 2015-06-30
1427303353 Melissa J Benardot Nurse Practitioner 380 Cty Rt 57, Community Health Center, Malone, NY 12953 2012-07-17
1013272202 Shafiu Oladele Ololade Internal Medicine 10 Third Street, Malone, NY 12953 2012-07-12
Find all providers in zip 12953

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760859318 The Mental Health Association of Franklin County Inc. Community/Behavioral Health 7 Pearl St, Malone, NY 12953-1900 2015-08-31
1043720857 Dawn Lee Vincent Community/Behavioral Health 15 4th St, Malone, NY 12953-1340 2017-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538152 Monette Counseling Services LLC Community/Behavioral Health 159 Margaret St Ste 225, Plattsburgh, NY 12901-1874 2020-11-06
1457959843 Summit Alternatives Lmsw PC Community/Behavioral Health 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 2020-10-16
1407462948 Shawn Muthersbaugh Lcsw Pllc Community/Behavioral Health 120 Defreest Dr Ste 175, Troy, NY 12180-7608 2020-09-21
1245845932 Grow Healthcare Group Pa Community/Behavioral Health 2196 3rd Ave # 20071, New York, NY 10035-3501 2020-09-10
1104439728 Andrea Brennan Licensed Mental Health Counseling, Pllc Community/Behavioral Health 245 Old Meadow Dr, Rochester, NY 14626-3548 2020-08-24
1831701630 Debra L. Terry Lcsw, P.C. Community/Behavioral Health 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 2020-08-21
1750992079 Trauma and Resiliency Resources, Inc. Community/Behavioral Health Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 2020-08-11
1598383796 Chemung-schuyler Counties Chapter, Nysarc, Inc. Community/Behavioral Health 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 2020-07-14
1033737895 Grow Care Inc Community/Behavioral Health 141 W 24th St Apt 5, New York, NY 10011-1958 2020-07-08
1043836943 Cornerstone Behavioral Services, LLC. Community/Behavioral Health 3670 Orchard Rd, Wantagh, NY 11793-3131 2020-06-17
Find all providers with the same taxonomy

Competitor

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City MALONE
Zip Code 12953

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Dataset Information

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.

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