BERKSHIRE FARM CENTER & SERVICES FOR YOUTH (NPI# 1376790766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376790766 |
| Entity Type | Organization |
| Organization Name | BERKSHIRE FARM CENTER & SERVICES FOR YOUTH |
| Practice Address |
1059 Sibley Tower Bldg Rochester NY 14604 |
| Mailing Address |
13640 State Route 22 Canaan NY 12029-3504 |
| Practice Telephone | 5854541620 |
| Practice Fax Number | 5854546814 |
| Mailing Telephone | 5187814567 |
| Mailing Fax Number | 5187810505 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | TIMOTHY GIACCHETTA (CEO) |
| Authorized Official Telephone | 5187814567 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 05101054 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02825845 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316088982 | Berkshire Farm Center & Services for Youth | Day Training, Developmentally Disabled Services | 25 Franklin St Ste 1059, Rochester, NY 14604-1009 | 2007-02-08 |
| Street Address |
1059 SIBLEY TOWER BLDG |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730336124 | Berkshire Farm Center &services for Youth | Community/Behavioral Health | 1059 Sibley Tower Bldg, Rochester, NY 14604 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225562481 | Katherine Nielsen-erskine | Registered Nurse | 1645 Saint Paul, Rochester, NY 14604 | 2017-04-14 |
| 1245787456 | The Young Men's Christian Association of Greater Rochester | Health Educator | 444 E Main St, Rochester, NY 14604 | 2016-09-06 |
| 1093146565 | Allyson Stoughton | Case Manager/Care Coordinator | 87 North Clinton Avenue, Rochester, NY 14604 | 2013-12-09 |
| 1003061839 | Trudy Johnette Mack | Licensed Practical Nurse | 165 N. Water Street, Apt. 205, Rochester, NY 14604 | 2008-11-20 |
| 1851430813 | Berkshire Farm Center and Services for Youth | Case Management | 1059 Silbey Tower Building, Medicaid Service Coordination Program, Rochester, NY 14604 | 2007-02-06 |
| 1982779930 | Jeremy Alan Leichtner | Dentist | 1158 Sibley Tower Bldg, Rochester, NY 14604 | 2006-11-22 |
| 1518589761 | Dillon Jay Auvenshine | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14604 | 2020-05-11 |
| 1235597394 | Jessica Pruitt | Counselor | 87 N Clinton Ave, Rochester, NY 14604 | 2016-02-04 |
| 1033520440 | Huther Doyle Memorial Institute | Counselor | 360 East Ave, Rochester, NY 14604 | 2014-05-20 |
| 1295146652 | Jose Rivera | Counselor | 360 East Ave, Rochester, NY 14604 | 2014-05-19 |
| Find all providers in zip 14604 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1407475270 | Southwood Psychiatric Hospital, LLC | Community/Behavioral Health | 203-205 Brighton Avenue, Rochester, PA 15074-2161 | 2020-04-13 |
| 1104338284 | Nicole Monta Psychotherapy, Plc | Community/Behavioral Health | 900 W University Dr, Rochester, MI 48307-1817 | 2017-10-30 |
| 1942722079 | Phoenix Psychology Services, Pllc | Community/Behavioral Health | 423 3rd Ave Se Ste 201, Rochester, MN 55904-4897 | 2017-07-11 |
| 1689102246 | Families & Friends of The Mentally Ill | Community/Behavioral Health | 320 N Goodman St, Rochester, NY 14607-1185 | 2017-05-26 |
| 1790221992 | Victory Fitness | Community/Behavioral Health | 52 Depew St, Rochester, NY 14611-2403 | 2017-01-11 |
| 1336681428 | Exercise Express LLC | Community/Behavioral Health | 232 Plymouth Ave S, Rochester, NY 14608-2237 | 2016-11-07 |
| 1457730160 | Maria Nichols | Community/Behavioral Health | 200 Frank Dimino Way Apt 203, Rochester, NY 14624-1188 | 2015-05-27 |
| 1043615586 | Amar Wellness Services, LLC | Community/Behavioral Health | 6556 Clarkia Dr Nw, Rochester, MN 55901-0285 | 2014-10-27 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on BERKSHIRE FARM CENTER & SERVICES FOR YOUTH.
| 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.