BEHAVIORAL HEALTH SERVICES NORTH, INC. (NPI# 1689621468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689621468 |
Entity Type | Organization |
Organization Name | BEHAVIORAL HEALTH SERVICES NORTH, INC. |
Practice Address |
2215 State Route 22b Morrisonville NY 12962 |
Mailing Address |
22 Us Oval Ste 218 Plattsburgh NY 12903-5902 |
Practice Telephone | 5185638000 |
Practice Fax Number | 5185639001 |
Mailing Telephone | 5185638000 |
Mailing Fax Number | 5185639001 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2020-04-16 |
Authorized Official Name | MARK A. LUKENS (PRESIDENT/CEO) |
Authorized Official Telephone | 5185638206 |
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) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01085758 | 05 | |
NY | 01285083 | 05 | |
NY | 01405650 | 05 | |
NY | 00671747 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | BEHAVIORAL HEALTH SERVICES NORTH, INC. | 22 U.S. Oval, Plattsburgh, New York 12903 |
Street Address |
2215 STATE ROUTE 22B |
City | MORRISONVILLE |
State | NY |
Zip Code | 12962 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649765694 | Danielle Ann Bechard | Social Worker | 2155 Ny-22b, Morrisonville, NY 12962 | 2018-06-22 |
1134626658 | Jessica Barbara King | Registered Nurse | 2155 Rt 22b, Morrisonville, NY 12962 | 2018-04-11 |
1912408477 | Medicine Horse Farm Corp | PACE Provider Organization | 38 Lizzies Lane, Morrisonville, NY 12962 | 2018-02-21 |
1346593456 | Frances Mary Ryan | Counselor | 2155 State Rt. 22, Behavioral Health Services North, Inc., Morrisonville, NY 12962 | 2012-10-26 |
1962657817 | Corina Ann Gibson | Speech-Language Pathologist | 2155 Route 22b, Pyramids Pediatric Intervention Services, Morrisonville, NY 12962 | 2008-11-19 |
1427027549 | John O Dejordy | Dermatology | 1753 Route 3, Adirondack Dermatology PC, Morrisonville, NY 12962 | 2006-03-14 |
1497369169 | Amber Elizabeth Keable | Registered Nurse | 2155 State Route 3, Morrisonville, NY 12962 | 2020-09-01 |
1225649403 | Alexis Evelyn Guay | Social Worker | 2155 State Route 3, Morrisonville, NY 12962 | 2020-08-12 |
1285282780 | Mallory Guay | Registered Nurse | 2155 Ny-22b, Morrisonville, NY 12962 | 2019-08-28 |
1922567486 | Melissa Lynn Bolster | Licensed Practical Nurse | 2155 Ny-22b, Morrisonville, NY 12962 | 2019-03-14 |
Find all providers in zip 12962 |
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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City | MORRISONVILLE |
Zip Code | 12962 |
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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.