COUNTY OF ORANGE (NPI# 1740227214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227214 |
| Entity Type | Organization |
| Organization Name | COUNTY OF ORANGE |
| Other Organization Name | COUNTY OF ORANGE, DEPARTMENT OF MENTAL HEALTH |
| Practice Address |
146 Pike Street Port Jervis NY 12771 |
| Mailing Address |
30 Harrman Drive Goshen NY 10924 |
| Practice Telephone | 8458581456 |
| Practice Fax Number | 8458581459 |
| Mailing Telephone | 8452912600 |
| Mailing Fax Number | 8452912628 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | SANDRA L ATKIN (ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 8452912604 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
7201109A | NY | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
7201109A | NY | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
7201109A | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00542503 | 05 | |
| NY | 03004253 | 05 |
| Other Name | Type Code |
|---|---|
| County of Orange, Department of Mental Health | Other Name - Individual/Organization |
| Orange County Dept. of Mental Health | Doing Business As Name - Organization |
| Port Jervis Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716770 | County of Orange | Clinic/Center | 2200 W Orangewood Ave, Suite 212, Orange, CA 92868-1945 | 2017-01-12 |
| 1114248671 | County of Orange | Clinic/Center | 200 W Santa Ana Blvd Fl 10, Santa Ana, CA 92701-4134 | 2010-06-18 |
| 1720212020 | County of Orange | Clinic/Center | 4771 Campus Dr, Irvine, CA 92612-3201 | 2009-05-14 |
| 1740431436 | County of Orange | Clinic/Center | 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 | 2008-10-01 |
| 1336324409 | County of Orange | Clinic/Center | 30 Harriman Dr, Goshen, NY 10924-2410 | 2008-01-08 |
| 1114108982 | County of Orange | Case Management | 200 W Santa Ana Blvd, Ste 800, Santa Ana, CA 92701 | 2007-11-20 |
| 1457574683 | County of Orange | Clinic/Center | 5 Mareblu, Suites 100, 200, and 250, Aliso Viejo, CA 92656-3014 | 2007-04-10 |
| 1063550929 | County of Orange | Clinical Medical Laboratory | 1729 W 17th St, Santa Ana, CA 92706-2316 | 2007-02-02 |
| 1346387743 | County of Orange | Clinic/Center | 2801 Bristol St, Costa Mesa, CA 92626-5996 | 2007-02-01 |
| 1881731289 | County of Orange | Clinic/Center | 455 W Baker Ave, Fullerton, CA 92832-3269 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF ORANGE | 333 West Santa Ana Blvd Fl 3, Santa Ana, CA 92701-4017 |
| Street Address |
146 PIKE STREET |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346574571 | Lillian Rothenhaus | Counselor | 146 Pike Street, Port Jervis, NY 12771 | 2009-09-21 |
| 1629223730 | Phillip Whayne Bennett | Social Worker | 146 Pike Street, Port Jervis, NY 12771 | 2008-11-18 |
| 1144474461 | Christine Franke | Social Worker | 146 Pike Street, Port Jervis, NY 12771 | 2008-11-13 |
| 1417149659 | Martha Mcphail Thomson | Nurse Practitioner | 146 Pike Street, Port Jervis, NY 12771 | 2007-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| 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 |
|---|---|---|---|---|
| 1619598927 | Kamelot Inc | Clinic/Center | 67 Ball St, Port Jervis, NY 12771-2524 | 2020-04-28 |
| 1366939662 | Genevieve Curio | Clinic/Center | 146 Pike St, Port Jervis, NY 12771-1808 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306674 | Therapeutic Sanctuary Counseling & Play Therapy Center | Clinic/Center | 3960 Harlem Rd Ste 13, Amherst, NY 14226-4746 | 2020-11-08 |
| 1093316564 | Access Mental Health Counseling, Pllc | Clinic/Center | 10 James Ave, East Norwich, NY 11732-1219 | 2020-11-02 |
| 1700487378 | Listening Ear Counseling and Therapy | Clinic/Center | 36 Watergate Dr, Amawalk, NY 10501-1107 | 2020-11-02 |
| 1154929123 | Culture of Wellness, LLC | Clinic/Center | 31 W 34th St # 7058, New York, NY 10001-3009 | 2020-10-13 |
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1801493366 | Child and Family Psychological Services | Clinic/Center | 521 Route 111 Ste 202, Hauppauge, NY 11788-4358 | 2020-10-07 |
| 1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
| 1235749409 | Wong Thies Psychology, Pllc | Clinic/Center | 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 | 2020-08-03 |
| 1316557606 | Calm Mind Psychiatric Np Services of The Finger Lakes Pllc | Clinic/Center | 840 Hanshaw Rd Ste 9, Ithaca, NY 14850-1589 | 2020-08-03 |
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on COUNTY OF ORANGE.
| 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.