COUNTY OF SULLIVAN (NPI# 1417987165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417987165 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SULLIVAN |
| Other Organization Name | SULLIVAN COUNTY DEPARTMENT OF COMMUNITY SERVICES |
| Practice Address |
20 Community Lane Liberty NY 12754-0716 |
| Mailing Address |
Po Box 716 20 Community Lane Liberty NY 12754-0716 |
| Practice Telephone | 8452928770 |
| Practice Fax Number | 8452924298 |
| Mailing Telephone | 8452928770 |
| Mailing Fax Number | 8452924298 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | MR. JOSEPH TODORA (DIRECTOR) |
| Authorized Official Telephone | 8452928770 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01147777 | 05 | |
| NY | VALUE OPTIONS | 143247 | 01 |
| NY | GHI | 143247 | 01 |
| NY | BEACON HEALTH | 12443 | 01 |
| NY | 00398370 | 05 |
| Other Name | Type Code |
|---|---|
| Sullivan County Department of Community Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487876066 | County of Sullivan | Public Health or Welfare | 1041 East Sullivan Street, Kingsport, TN 37660 | 2007-05-03 |
| 1922009919 | County of Sullivan | Public Health or Welfare | 50 Community Ln, Liberty, NY 12754-2851 | 2005-08-02 |
| 1912904541 | County of Sullivan | Skilled Nursing Facility | 256 Sunset Lake Rd., Liberty, NY 12754-0671 | 2005-06-28 |
| 1033386651 | County of Sullivan | Public Health or Welfare | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2008-05-13 |
| 1518179233 | County of Sullivan | Public Health or Welfare | 154 Blountville Bypass, Blountville, TN 37617 | 2007-05-04 |
| 1689896268 | County of Sullivan | Public Health or Welfare | 975 Emergency Road, Blountville, TN 37617 | 2007-05-03 |
| 1437202959 | County of Sullivan | Skilled Nursing Facility | 256 Sunset Lake Rd., Liberty, NY 12754-0671 | 2007-01-19 |
| 1710915400 | County of Sullivan | Home Health | 50 Community Ln, Liberty, NY 12754-2851 | 2006-06-29 |
| Street Address |
20 COMMUNITY LANE |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-0716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053867861 | Debra Mae Tompkins | Registered Nurse | 20 Community Lane, Liberty, NY 12754 | 2016-08-31 |
| 1104028877 | Cheryl Margaret Crawford | Registered Nurse | 20 Community Lane, Liberty, NY 12754 | 2007-06-04 |
| 1942411913 | Patricia Ann Kuszek | Registered Nurse | 20 Community Lane, Liberty, NY 12754 | 2007-05-24 |
| 1962613968 | Dawn Lynette Kortright | Registered Nurse | 20 Community Lane, Liberty, NY 12754 | 2007-05-24 |
| 1730103466 | Dinker Harilal Bhatt | Social Worker | 20 Community Lane, Liberty, NY 12754-0716 | 2006-07-26 |
| 1265467013 | Lisa J Calhoun | Social Worker | 20 Community Lane, Liberty, NY 12754-0716 | 2006-07-11 |
| 1194759845 | Donna Jean Schick | Social Worker | 20 Community Lane, Liberty, NY 12754-0716 | 2006-07-10 |
| 1386678969 | Arleen Krasnoff | Social Worker | 20 Community Lane, Liberty, NY 12754-0716 | 2006-07-10 |
| 1063446342 | Susan E Hahn | Social Worker | 20 Community Lane, Liberty, NY 12754-0716 | 2006-07-10 |
| 1679505671 | Ann Marie Franklin | Social Worker | 20 Community Lane, Liberty, NY 12754-0716 | 2006-07-07 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 12754 | ||||
| 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 |
|---|---|---|---|---|
| 1598182354 | Touchstone Residential Services | Community/Behavioral Health | 7942 Garrett Rd, Liberty, NC 27298-8656 | 2014-03-18 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1740514579 | Phoenix Professional Services | Community/Behavioral Health | 108 N Fayetteville St, Liberty, NC 27298-3203 | 2009-09-26 |
| 1548422678 | Liberty Psychological Services, L.L.C. | Community/Behavioral Health | 32 Westwoods Dr, Liberty, MO 64068-3519 | 2008-06-30 |
| 1104450337 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 1512 Ne 96th St Ste A, Liberty, MO 64068-7174 | 2020-02-26 |
| 1194260471 | Marlene Littleton, LLC | Community/Behavioral Health | 1170 W Kansas St, Building 10, Liberty, MO 64068-2036 | 2016-12-22 |
| 1245781525 | Spirit of Hope Counseling Services, LLC | Community/Behavioral Health | 9 Victory Dr, Suite 2b, Liberty, MO 64068-3807 | 2016-10-20 |
| 1194180125 | Leslie N. Jones, Ph.d., L.L.C. | Community/Behavioral Health | 112 Westwoods Dr, Liberty, MO 64068-1181 | 2015-12-17 |
| 1255629317 | Jeffery D Janney LLC | Community/Behavioral Health | 113 Blue Jay Dr, Suite 101, Liberty, MO 64068-1918 | 2011-07-11 |
| 1063732733 | Family Christian Care Service | Community/Behavioral Health | 623 Main St, Suite 3, Liberty, TX 77575-4849 | 2010-06-04 |
| Find all providers in LIBERTY | ||||
Please comment or provide details below to improve the information on COUNTY OF SULLIVAN.
| 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.