ITHACA ALPHA HOUSE CENTER, INC. (NPI# 1548262363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548262363 |
| Entity Type | Organization |
| Organization Name | ITHACA ALPHA HOUSE CENTER, INC. |
| Other Organization Name | CAYUGA ADDICTION RECOVERY SERVICES OUTPATIENT PROGRAM |
| Practice Address |
334 W State St Ithaca NY 14850-5432 |
| Mailing Address |
38 East Main Street Po Box 724 Trumansburg NY 14886 |
| Practice Telephone | 6072735500 |
| Practice Fax Number | 6072731277 |
| Mailing Telephone | 6073875535 |
| Mailing Fax Number | 6073875526 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-10-02 |
| Authorized Official Name | MS. SUSAN M OAKS (CHIEF FINANCIAL OFFICERE) |
| Authorized Official Telephone | 6073875535 |
| Is Organization Subpart | Y |
| Parent Organization Name | ITHACA ALPHA HOUSE CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
070510837 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01292828 | 05 |
| Other Name | Type Code |
|---|---|
| Cayuga Addiction Recovery Services Outpatient Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497206221 | Ithaca Alpha House Center, Inc. | Substance Abuse Rehabilitation Facility | 6621 Nys Route 227, Trumansburg, NY 14886-0724 | 2016-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ITHACA ALPHA HOUSE CENTER, INC. | Route 227, R.d. #1, Trumansburg, New York 14886 |
| Street Address |
334 W STATE ST |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640659 | Rebecca Mae Preston | Counselor | 334 W State St, Ithaca, NY 14850-5432 | 2018-12-17 |
| 1831674688 | Patrice Marie Goldstein | Counselor | 334 W State St, Ithaca, NY 14850-5432 | 2018-09-27 |
| 1518458264 | Justin K Lynady | Social Worker | 334 W State St, Ithaca, NY 14850-5432 | 2018-05-29 |
| 1548709025 | Ithaca Alpha House | Clinic/Center | 334 W State St, Ithaca, NY 14850-5432 | 2017-02-17 |
| 1043686314 | Cayuga Addiction Recovery Services | Community/Behavioral Health | 334 W State St, Ithaca, NY 14850-5432 | 2015-08-20 |
| 1295088979 | Laura Jeanne Smith | Counselor | 334 W State St, Ithaca, NY 14850-5432 | 2012-10-18 |
| 1326349663 | Elizabeth Belknap | Counselor | 334 W State St, Ithaca, NY 14850-5432 | 2010-11-03 |
| 1003116351 | Peter Dodge | Counselor | 334 W State St, Ithaca, NY 14850-5432 | 2010-11-02 |
| 1487964763 | Melissa Fuka | Counselor | 334 W State St, Ithaca, NY 14850-5432 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1639545437 | Kiranjit K. Longaker, Mental Health Counselor, Pllc | Clinic/Center | 401 E State St Ste 400, Ithaca, NY 14850-4400 | 2015-08-15 |
| 1952782898 | B. Beth Cohen, Ph.d., Licensed Psychologist, Pllc | Clinic/Center | 118 N Tioga St, Suite 401, Ithaca, NY 14850-4354 | 2015-06-16 |
| 1588686596 | Tompkins County Mental Health Services | Clinic/Center | 201 E Green St, Ithaca, NY 14850-5421 | 2006-07-25 |
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| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
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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.