BROOME DDSO CLINIC (NPI# 1831223718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831223718 |
| Entity Type | Organization |
| Organization Name | BROOME DDSO CLINIC |
| Practice Address |
17 Midland Dr Norwich NY 13815-1914 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 5184024333 |
| Mailing Telephone | 5184024333 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | KARLA SMITH (DIRECTOR OF CENTRAL OPERATIONS) |
| Authorized Official Telephone | 5184024333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
00233170 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01419121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902939044 | Broome Ddso Clinic | Clinic/Center | 229-231 State St, Binghamton, NY 13901-2756 | 2007-03-14 |
| Street Address |
17 MIDLAND DR |
| City | NORWICH |
| State | NY |
| Zip Code | 13815-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699224469 | Brandy Lobdell | Dental Hygienist | 17 Midland Dr, Norwich, NY 13815-1914 | 2016-09-22 |
| 1528516473 | Cws Dental Clinic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Midland Dr, Norwich, NY 13815-1914 | 2016-09-20 |
| 1790198828 | Dawn Lynch | Dental Hygienist | 17 Midland Dr, Norwich, NY 13815-1914 | 2014-06-05 |
| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396879649 | State of New York Comptrollers Office | Clinic/Center | 119 Kemper Ln, Norwich, NY 13815-3579 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009839 | Always By Your Side, Inc. | Clinic/Center | 102 Beaumont Street, Brooklyn, NY 11235-4119 | 2020-09-24 |
| 1942861042 | Sensory Tot Spot Occupational Therapy Pllc | Clinic/Center | 24 Conifer Dr, Burnt Hills, NY 12027-9706 | 2019-06-28 |
| 1972084366 | State of New York Comptrollers Office | Clinic/Center | Fineson Ddsoo Clinic, 80-45 Winchester Blvd Bldg 80, Queens Village, NY 11428 | 2018-08-24 |
| 1750877783 | Meaningful Occupational Therapy, P.C. | Clinic/Center | 21405 18th Ave Apt 3, Bayside, NY 11360-1604 | 2018-07-02 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1033569736 | State of New York Comptrollers Office | Clinic/Center | 144 W Main St, Phelps, NY 14532 | 2016-06-14 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1588014260 | State of New York Comptrollers Office | Clinic/Center | 2059 E Henrietta Rd, Rochester, NY 14623-3922 | 2016-06-14 |
| 1306291521 | Richmond Children Center | Clinic/Center | 1291 Saw Mill River Rd, Yonkers, NY 10710-2700 | 2016-04-25 |
| 1780099606 | Sensory Heights Occupational Therapy, P.C. | Clinic/Center | 1275 81st St, Brooklyn, NY 11228-3003 | 2014-06-30 |
| 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.