CHENANGO COUNTY COMMUNITY SERVICES BOARD (NPI# 1588694749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588694749 |
| Entity Type | Organization |
| Organization Name | CHENANGO COUNTY COMMUNITY SERVICES BOARD |
| Other Organization Name | HARRY STACK SULLIVAN MENTAL HEALTH SERVICES |
| Practice Address |
5 Court St Suite 42, County Office Building Norwich NY 13815-1695 |
| Practice Telephone | 6073371602 |
| Practice Fax Number | 6073344519 |
| Mailing Telephone | 6073371602 |
| Mailing Fax Number | 6073344519 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY ANN SPRYN (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Telephone | 6073371602 |
| Authorized Official Credential | ACSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6861100A | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01178716 | 05 |
| Other Name | Type Code |
|---|---|
| Harry Stack Sullivan Mental Health Services | Other Name - Individual/Organization |
| Street Address |
5 COURT ST SUITE 42, COUNTY OFFICE BUILDING |
| City | NORWICH |
| State | NY |
| Zip Code | 13815-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915378 | Chenango County | Home Health | 5 Court St, County Office Building, Norwich, NY 13815-1695 | 2005-10-12 |
| 1114479904 | Linda Carol Denz | Social Worker | 5 Court St, Suite 45, Norwich, NY 13815-1695 | 2016-10-27 |
| 1154788925 | Sarah Nucero | Social Worker | 5 Court St, Suite 42, Norwich, NY 13815-1695 | 2016-01-25 |
| 1700251493 | Lynnette Cruger | Registered Nurse | 5 Court St, Suite 42, Norwich, NY 13815-1695 | 2015-12-06 |
| 1528450871 | Scott M. Weeks | Counselor | 5 Court St, Suite 42, County Office Building, Norwich, NY 13815-1695 | 2015-02-24 |
| 1447640610 | Carrie Sullivan | Case Manager/Care Coordinator | 5 Court St, Norwich, NY 13815-1695 | 2015-01-27 |
| 1699163881 | Jessica Button | Social Worker | 5 Court St, Suite 42, Norwich, NY 13815-1695 | 2014-12-23 |
| 1538586425 | Pamela Kinney | Registered Nurse | 5 Court St, Suite 42, County Office Building, Norwich, NY 13815-1695 | 2014-03-28 |
| 1538505813 | Laura Marie Grosso | Counselor | 5 Court St, Suite 42, Cob, Norwich, NY 13815-1695 | 2013-05-14 |
| 1932545365 | Kristi Jo Foote | Counselor | 5 Court St, Suite 42, Cob, Norwich, NY 13815-1695 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304752 | Amanda Butler | Social Worker | Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 | 2019-09-10 |
| 1235793548 | Kay Marie Drebert | Social Worker | Chenango County Community Mental Hygiene Services - Cou, Suite 42, Norwich, NY 13815 | 2019-04-23 |
| 1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
| 1801387543 | Heather Rae Kolb | Social Worker | 5 Court St. Suite 42, Noriwch, NY 13815 | 2018-05-29 |
| 1386162006 | Courtney Jean Brown | Licensed Practical Nurse | 131 Railroad Ave, Norwich, NY 13815 | 2017-09-01 |
| 1891225827 | Fanny Sacks | Chiropractor | 4939 State Hwy 23, Norwich, NY 13815 | 2017-06-13 |
| 1558817916 | Erika J Rossi | Nurse Practitioner | 55 Calvary Drive, Norwich, NY 13815 | 2016-08-26 |
| 1013367341 | Irina Gordeyeva | Social Worker | 5 Court Street Suite 42, Chenango County Behavioral Health Services, Norwich, NY 13815 | 2016-06-17 |
| 1104287390 | Amanda Leigh Scott | Massage Therapist | 409 County Rd 33, Norwich, NY 13815 | 2016-03-15 |
| 1962886119 | Abigail Goings | Speech-Language Pathologist | 54 Borden Ave, C 38, Norwich, NY 13815 | 2015-07-17 |
| Find all providers in zip 13815 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649335688 | Catholic Charities,diocese of Norwich, Inc. | Clinic/Center | 331 Main St, Norwich, CT 06360 | 2006-12-27 |
| 1841367489 | Julie Anne Stiber | Clinic/Center | 47 Town St, Norwich, CT 06360-2315 | 2006-11-29 |
| 1003846270 | County of Chenango | Clinic/Center | 5 Court St, Suite 42, County Office Building, Norwich, NY 13815-1695 | 2006-07-04 |
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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.