CORTLAND COUNTY MENTAL HEALTH CLINIC (NPI# 1518126549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518126549 |
| Entity Type | Organization |
| Organization Name | CORTLAND COUNTY MENTAL HEALTH CLINIC |
| Practice Address |
7 Clayton Ave Cortland NY 13045-2501 |
| Practice Telephone | 6077586100 |
| Practice Fax Number | 6077586116 |
| Mailing Telephone | 6077586100 |
| Mailing Fax Number | 6077586116 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | DR. JASON STEPKOVITCH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6077586100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00562890 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194979195 | Cortland County Mental Health Clinic | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2008-11-05 |
| 1457478778 | Cortland County Mental Health Clinic | Point of Service | 7 Clayton Ave, Cortland, NY 13045-2501 | 2007-03-23 |
| Street Address |
7 CLAYTON AVE |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821001579 | Cortland County County Treasurer | Psychologist | 7 Clayton Ave, Cortland, NY 13045-2501 | 2006-08-14 |
| 1174124341 | Angela Helms | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2020-11-04 |
| 1689283111 | Jennifer Beach | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2020-07-30 |
| 1730737636 | Jesse R. Belton | Social Worker | 7 Clayton Ave, Cortland, NY 13045-2501 | 2019-09-04 |
| 1780241919 | Amber Guernsey | Social Worker | 7 Clayton Ave, Cortland, NY 13045-2501 | 2019-05-22 |
| 1316420144 | Maranda Mcfadden | Social Worker | 7 Clayton Ave, Cortland, NY 13045 | 2018-09-07 |
| 1639663966 | Sarah Chambers | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2018-06-20 |
| 1710438882 | Rebecca Petrie | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2016-10-24 |
| 1528417300 | Deborah Bearman-tasman | Registered Nurse | 7 Clayton Ave, Cortland, NY 13045-2501 | 2016-06-13 |
| 1962856294 | Adrian J. Ballard | Social Worker | 7 Clayton Ave, Cortland, NY 13045-2501 | 2016-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1043818511 | Arbor Intensives Ltd | Clinic/Center | 514 Ocean Pkwy Ste L2, Brooklyn, NY 11218-5836 | 2020-10-15 |
| 1639645724 | Michelle Massarini, Licensed Mental Health Counselor | Clinic/Center | 1462 Levanna Rd, Union Springs, NY 13160-3196 | 2018-10-16 |
| 1952890949 | Student Assistance Services Corporation | Clinic/Center | 660 White Plains Rd Ste 100, Tarrytown, NY 10591-5172 | 2018-05-04 |
| 1013417708 | Alley Valley, LLC | Clinic/Center | 20 Sunrise Dr, Monsey, NY 10952-3305 | 2018-02-19 |
| 1568961829 | Adams Inc. | Clinic/Center | 10933 172nd St Apt 275, Jamaica, NY 11433-3031 | 2018-02-01 |
| 1023560380 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2016-11-02 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 1548616949 | Lahtze Enterprises LLC | Clinic/Center | 7515 S State St, Lowville, NY 13367-1569 | 2016-05-04 |
| 1306236294 | The Brain Boosters, Inc. | Clinic/Center | 333 Jericho Tpke, Suite 200, Jericho, NY 11753-1100 | 2015-01-29 |
| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
| Find all providers with the same taxonomy | ||||
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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.