UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC. (NPI# 1467432765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467432765 |
| Entity Type | Organization |
| Organization Name | UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC. |
| Other Organization Name | CEREBRAL PALSY OF THE NORTH COUNTRY |
| Practice Address |
4 Commerce Ln Canton NY 13617-3739 |
| Practice Telephone | 3153861156 |
| Practice Fax Number | 3153799388 |
| Mailing Telephone | 3153861156 |
| Mailing Fax Number | 3153799388 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-04-19 |
| Authorized Official Name | TARIK MAATALLAH (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 3153861156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01995615 | 05 |
| Other Name | Type Code |
|---|---|
| Cerebral Palsy of the North Country | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC. | 4 Commerce Lane, Canton, New York 13676 |
| Street Address |
4 COMMERCE LN |
| City | CANTON |
| State | NY |
| Zip Code | 13617-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962551 | Isabelle Anne Young | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2020-01-27 |
| 1326503988 | Abby K Philbrick | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2019-02-07 |
| 1356858724 | Donna Gokey | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2018-01-06 |
| 1528596103 | Shannon Leclair | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-26 |
| 1255868998 | Jill Guiles | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-12 |
| 1861869703 | Jackline B Ngalame | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-08-26 |
| 1700260221 | Christine Couperus-mashewske | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-07-14 |
| 1336521236 | Miranda Groebler | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-06-26 |
| 1316287378 | Keri E. Caracciolo | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2013-02-27 |
| 1750620076 | Olaifa V Turner | Dentist | 4 Commerce Ln, Canton, NY 13617-3739 | 2013-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1760810287 | Davis Family Health Care | Clinic/Center | 162 Feather Ln Ste E, Canton, MS 39046-8510 | 2013-10-18 |
| 1831430909 | Advanced Ob-gyn of Dearborn, P.C. | Clinic/Center | 2263 Pinecroft Dr, Unit 216, Canton, MI 48188-2247 | 2013-03-13 |
| 1801075338 | Canton Professional Services, Inc. | Clinic/Center | 5900 N. Lilley Rd, Suite 104, Canton, MI 48187-3971 | 2007-11-01 |
| 1902096381 | Delta Group of Michigan Inc | Clinic/Center | 41148 Williamsburg Blvd, Canton, MI 48187-3963 | 2007-07-31 |
| 1619042017 | Rdm Center, Inc. | Clinic/Center | 5820 N Lilley Rd, Suite 7, Canton, MI 48187-3686 | 2006-11-21 |
| 1366402422 | Ican Inc. | Clinic/Center | 1214 Market Ave N, Canton, OH 44714-2604 | 2006-03-24 |
| 1639146095 | Domestic Violence Project, Inc | Clinic/Center | 720 19th St Ne, Canton, OH 44714-2213 | 2006-03-03 |
| 1336706506 | North East Ohio Endoscopy Center Inc | Clinic/Center | 4124 Munson St Nw, Canton, OH 44718-4804 | 2019-05-23 |
| 1710447982 | You Matter Adolescent Women Clinic | Clinic/Center | 3089 S Liberty St, Canton, MS 39046-9224 | 2019-03-22 |
| Find all providers in CANTON | ||||
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| 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.