CATHOLIC CHARITIES COMMUNITY SERVICES OF ORANGE COUNTY (NPI# 1255580056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255580056 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES COMMUNITY SERVICES OF ORANGE COUNTY |
| Practice Address |
17-19 Sussex Street Port Jervis NY 12771 |
| Mailing Address |
224 Main St 2nd Floor Goshen NY 10924-2157 |
| Practice Telephone | 8458566344 |
| Practice Fax Number | 8458564091 |
| Mailing Telephone | 8452945124 |
| Mailing Fax Number | 8452941369 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | DEAN SCHER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8452945124 |
| Authorized Official Credential | PH.D, L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1100X |
Clinic/Center Specialization: Research |
090111578 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02739311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629438692 | Catholic Charities Community Services of Orange County | Substance Abuse Rehabilitation Facility | 17 Hamiton Ave, Monticello, NY 12701-1411 | 2016-03-03 |
| 1841449659 | Catholic Charities Community Services of Orange County | Clinic/Center | 46 Roe St, Newburgh, NY 12550-3733 | 2008-09-17 |
| 1609025998 | Catholic Charities Community Services of Orange County | Clinic/Center | 520 State Route 17m, Monroe, NY 10950-3455 | 2008-09-11 |
| 1316196603 | Catholic Charities Community Services of Orange County | Clinic/Center | 280 Broadway, Lower Level, Newburgh, NY 12550-5408 | 2008-09-11 |
| 1184873473 | Catholic Charities Community Services of Orange County | Clinic/Center | 21 Center St, Middletown, NY 10940-5704 | 2008-09-11 |
| 1376792663 | Catholic Charities Community Services of Orange County | Clinic/Center | 8 Scofield St, Walden, NY 12586-1710 | 2008-09-11 |
| 1093875007 | Catholic Charities Community Services of Orange County | Clinic/Center | 224 Main St, Goshen, NY 10924-2157 | 2006-12-11 |
| Street Address |
17-19 SUSSEX STREET |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1548567712 | Marie Jados Stanish | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2011-02-23 |
| 1649427311 | Susan Carole Corbett | Registered Nurse | 17-19 Sussex Street, Port Jervis, NY 12771 | 2008-08-25 |
| 1487801650 | Martin Irving Colavito | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771-2430 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| 1871680538 | Bhupinder S Gill | Psychiatry & Neurology | 206 New Ball St, Port Jervis, NY 12771 | 2006-10-06 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 261QR1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Research |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104315498 | Dariush Moussai | Clinic/Center | 11311 Jewel Ave, Forest Hills, NY 11375-3952 | 2018-05-02 |
| 1689065401 | Weill Medical College of Cornell University | Clinic/Center | 525 E 68 St, Dept of Neurology, New York, NY 10065 | 2015-02-16 |
| 1962626341 | Aaron Diamond Aids Research Center | Clinic/Center | 445 1st Ave, 7th Floor, New York, NY 10016 | 2007-04-13 |
| 1881120608 | Diabetic Eye Care Consultants of New York, Pllc | Clinic/Center | 218 Second Ave, Suite 402, New York, NY 10003-4201 | 2017-05-11 |
| 1992077838 | Novel Research of New York, LLC | Clinic/Center | 2157 Tomlinson Ave, Bronx, NY 10461-1267 | 2012-02-08 |
| 1831227925 | Mount Sinai Medical Center | Clinic/Center | 1 Gustave L Levy Pl, New York, NY 10029-6500 | 2007-03-01 |
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on CATHOLIC CHARITIES COMMUNITY SERVICES OF ORANGE COUNTY.
| 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.