M A STUTZMAN ADDICTION TREATMENT CENTER


Address: 360 Forest Avenue, Buffalo, NY 14213-1298
Phone: 7168824900

M A STUTZMAN ADDICTION TREATMENT CENTER (NPI# 1427130889) 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) 1427130889
Entity Type Organization
Organization Name M A STUTZMAN ADDICTION TREATMENT CENTER
Practice Address 360 Forest Avenue
Buffalo
NY 14213-1298
Practice Telephone 7168824900
Practice Fax Number 7168824426
Mailing Telephone 7168824900
Mailing Fax Number 7168824426
Enumeration Date 2006-10-19
Last Update Date 2020-08-22
Authorized Official Name MR. MICHAEL A LAWLER (ASSOCIATE COMMISSIONER DIVISION OF)
Authorized Official Telephone 5184575312
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY 01423394 05

Office Location

Street Address 360 FOREST AVENUE
City BUFFALO
State NY
Zip Code 14213-1298

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1891311445 Shyana C Broughton Doula 145 16th Street, Back Cottage, Buffalo, NY 14213 2020-06-19
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1104335066 Hussein A Waris Driver 155 W Delavan Ave, Buffalo, NY 14213 2017-09-23
1154849305 Yasmin Rivera Case Manager/Care Coordinator 368 Rhode Island St, Apt 2, Buffalo, NY 14213 2017-09-07
1912250978 Cindy Schmidt Registered Nurse 370 Normal Avenue, Buffalo, NY 14213 2012-10-16
1023328747 Lynn M Lent Registered Nurse 1300 Niagara Street, Buffalo, NY 14213 2010-10-15
1558590356 Susan Lorraine Rozek Pharmacist 400 Forest Ave., Buffalo, NY 14213 2009-07-14
1669635959 John R Metzen Dentist 463 W Delavan Ave, Buffalo, NY 14213 2008-07-07
1669653267 Rona D'aniello Dietitian, Registered 184 Barton Street, Jericho Road Ministries, Buffalo, NY 14213 2007-11-25
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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
1780121384 Shawn M. Montgomery Community Health Services Community/Behavioral Health 567 Exchange St Ste 205, Buffalo, NY 14210-1368 2017-01-21
1801190327 Professional Counseling Center Community/Behavioral Health 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 2010-12-23
1023234168 Pcc, Inc Community/Behavioral Health 7 Hwy 55 West, Buffalo, MN 55313 2007-04-17
1962596718 Catholic Charities of Buffalo Community/Behavioral Health 76 W. Humboldt Parkway, Buffalo, NY 14214 2006-10-03
1770103673 Say Yes Buffalo Scholarship, Inc. Community/Behavioral Health 712 Main St, Buffalo, NY 14202-1720 2020-04-21
1558880492 First Empowerment Wraparound LLC Community/Behavioral Health 155 E Keays St, Buffalo, WY 82834-1900 2017-09-12
1396263067 Hope Anne Donahue Community/Behavioral Health 155 E Keays St, Buffalo, WY 82834-1900 2017-09-01
1922550094 Buffalo Psychiatric Center Community/Behavioral Health 400 Forest Ave, Buffalo, NY 14213-1207 2016-10-25
1710434881 Families' Child Advocacy Network,inc. Community/Behavioral Health 135 Delaware Ave, Suite 307, Buffalo, NY 14202-2416 2016-09-07
1821456443 Buffalo Psychioatric Center Community/Behavioral Health 400 Forest Ave, Buffalo, NY 14213-1207 2016-02-10
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Competitor

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City BUFFALO
Zip Code 14213

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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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