COUNTY OF OTSEGO (NPI# 1831145101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831145101 |
| Entity Type | Organization |
| Organization Name | COUNTY OF OTSEGO |
| Other Organization Name | OTSEGO COUNTY MENTAL HEALTH CLINIC |
| Practice Address |
242 Main St Oneonta NY 13820-2527 |
| Practice Telephone | 6074332343 |
| Practice Fax Number | 6074336229 |
| Mailing Telephone | 6074332343 |
| Mailing Fax Number | 6074336229 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | MS. SUSAN A MATT (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Telephone | 6074332343 |
| Authorized Official Credential | LCSW/CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6635100A | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03004473 | 05 | |
| EXCELLUS BC/BS | 115687 | 01 | |
| EMPIRE BC/BS | Z4118 | 01 |
| Other Name | Type Code |
|---|---|
| Otsego County Mental Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104925031 | County of Otsego | Clinic/Center | 242 Main Street, 2nd Floor, Oneonta, NY 13820-2527 | 2006-09-21 |
| 1891773701 | County of Otsego | Skilled Nursing Facility | 128 Phoenix Mills Cross Rd, Cooperstown, NY 13326-5716 | 2006-01-03 |
| 1093854564 | County of Otsego | Home Health | 128 Phoenix Mills Cross Rd, Cooperstown, NY 13326-5716 | 2007-02-05 |
| Street Address |
242 MAIN ST |
| City | ONEONTA |
| State | NY |
| Zip Code | 13820-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534326 | Kaylin Thonnesen | Social Worker | 242 Main St, Oneonta, NY 13820-2527 | 2020-10-02 |
| 1437797644 | Alyssa Bailey | Social Worker | 242 Main St, Oneonta, NY 13820-2527 | 2019-12-18 |
| 1538724042 | Ajeta Hozanovic | Counselor | 242 Main St, Oneonta, NY 13820-2527 | 2019-05-09 |
| 1740749977 | Juliette Consigny | Social Worker | 242 Main St, Oneonta, NY 13820-2527 | 2019-03-18 |
| 1467922732 | Shannah Marie Mondore | Social Worker | 242 Main St, Oneonta, NY 13820-2527 | 2018-11-29 |
| 1194291534 | Morgan Ann Boyle | Counselor | 242 Main St, Oneonta, NY 13820-2527 | 2018-10-23 |
| 1770010993 | Theresa Marie Guardiano | Counselor | 242 Main St, Oneonta, NY 13820-2527 | 2017-05-18 |
| 1265978308 | Angela Stjohn Nader | Social Worker | 242 Main St, Oneonta, NY 13820-2527 | 2017-01-12 |
| 1588115679 | Marissa Anne Pomarico-maxson | Counselor | 242 Main St, Oneonta, NY 13820-2527 | 2016-10-24 |
| 1285003947 | Patricia E. Noon | Counselor | 242 Main St, 2nd Floor, Oneonta, NY 13820-2527 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949162 | Jeffrey Alan Cooke | Nurse Practitioner | 739 State Route 28, Suite 9, Oneonta, NY 13820 | 2020-07-07 |
| 1073072278 | Colleen Marie Cutting | Massage Therapist | 22 Watkins Ave, Suite 102, Oneonta, NY 13820 | 2019-03-18 |
| 1114491925 | Amy Lynne Fletcher-foster | Physical Therapist | 5588 Ny-7, Oneonta, NY 13820 | 2019-01-15 |
| 1114497443 | Cathryn Melissa Hassick | Registered Nurse | 130 East Street, Oneonta, NY 13820 | 2018-11-29 |
| 1043797673 | Shelly Ranae Ashley | Counselor | 242 Main St, Fl 1, Oneonta, NY 13820 | 2018-07-26 |
| 1528561834 | Kaitlin Imperato | Physical Therapist | 5649 Ny-7, Oneonta, NY 13820 | 2018-03-13 |
| 1619413838 | Chloe Zaengle | Occupational Therapist | 1 Norton Avenue, Oneonta, NY 13820 | 2017-01-11 |
| 1508308388 | Amanda Vanburen | Physician Assistant | 739 Nys Rt. 28, Suite 9, Oneonta, NY 13820 | 2016-11-10 |
| 1720477227 | Helaine Rita Feinberg | Speech-Language Pathologist | 105 Campus Drive, Oneonta, NY 13820 | 2015-01-21 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| Find all providers in zip 13820 | ||||
| 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 |
|---|---|---|---|---|
| 1689235384 | Awakenings Counseling Services | Clinic/Center | 406 5th St N Ste 4, Oneonta, AL 35121-1575 | 2019-06-24 |
| 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 | ||||
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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.