LEWIS COUNTY MH (NPI# 1831238542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831238542 |
Entity Type | Organization |
Organization Name | LEWIS COUNTY MH |
Other Organization Name | LEWIS COUNTY COMMUNITY MENTAL HEALTH CENTER |
Practice Address |
7550 South State Street Lowville NY 13367 |
Practice Telephone | 3153765450 |
Practice Fax Number | 3153767221 |
Mailing Telephone | 3153765450 |
Mailing Fax Number | 3153767221 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | TOBY K DAVIS (DIRECTOR) |
Authorized Official Telephone | 3153765450 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
6871100A | NY | Ambulatory Health Care Facilities |
X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
6871100A | NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01142401 | 05 |
Other Name | Type Code |
---|---|
Lewis County Community Mental Health Center | Doing Business As Name - Organization |
Street Address |
7550 SOUTH STATE STREET |
City | LOWVILLE |
State | NY |
Zip Code | 13367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215015581 | William Burkhard | Counselor | 7550 South State Street, Lowville, NY 13367 | 2006-11-02 |
1386175016 | Chelsea Marie Ashcroft | Registered Nurse | 7550 South State Street, Lowville, NY 13367-1574 | 2017-03-24 |
1982958708 | Peter W Hrabchak | Counselor | 7550 South State Street, Lowville, NY 13367 | 2012-10-31 |
1164785242 | Nicole M. Ryan | Social Worker | 7550 South State Street, Lowville, NY 13367 | 2012-06-22 |
1801171541 | Mechia M. Williams | Social Worker | 7550 South State Street, Lowville, NY 13367 | 2011-10-13 |
1659687846 | Lori A Tiffany | Counselor | 7550 South State Street, Lowville, NY 13367-1533 | 2010-08-25 |
1710136940 | Michelle Renae Martin | Case Manager/Care Coordinator | 7550 South State Street, Lowville, NY 13367 | 2008-09-11 |
1942468194 | Nathele J Anderson | Student in an Organized Health Care Education/Training Program | 7550 South State Street, Lowville, NY 13367 | 2008-05-23 |
1962680926 | Lorraine A Berrus | Case Manager/Care Coordinator | 7550 South State Street, Lowville, NY 13367 | 2008-02-01 |
1669653036 | Pamela J Brower | Social Worker | 7550 South State Street, Lowville, NY 13367 | 2007-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497284426 | Abdelrahman Elgallad | Anesthesiology | 7785 N. State Street, Lowville, NY 13367 | 2017-06-04 |
1164887428 | Debra Ann Wiedmer | Occupational Therapist | 7020 State Rt. 12, Lowville, NY 13367 | 2015-12-30 |
1699165985 | Emily Marie Miller | Pharmacist | 7155 Nys Rt 12 South, Lowville, NY 13367 | 2015-01-26 |
1710247713 | Matthew J. Humphrey | Social Worker | 7550 South State St, Lowville, NY 13367 | 2012-05-23 |
1275856189 | Jane M Sanford | Counselor | 7714 Number Three Road, Lowville, NY 13367 | 2010-03-05 |
1043547151 | Marilyn A Planck Yancey | Occupational Therapist | 7441 Emi Lane, Lowville, NY 13367 | 2009-11-10 |
1053434613 | Allison Lynn Sammis | Pharmacist | 7395 Utica Bulevard, Lowville, NY 13367 | 2007-04-09 |
1598887622 | Jennifer Leigh Lovenduski | Pharmacist | Kinney Drugs, 7395 Utica Boulevard, Lowville, NY 13367 | 2007-04-06 |
1699853952 | Janine A Haver | Social Worker | 5440 Trinity Ave, Lowville, NY 13367 | 2006-11-02 |
1952404311 | Raymond F Higby Jr. | Chiropractor | 6428 Number Four Road, Lowville, NY 13367 | 2006-09-07 |
Find all providers in zip 13367 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467069302 | Morning Dew Therapy, LLC | Clinic/Center | 370 Westchester Ave Apt 6u, Port Chester, NY 10573-3647 | 2020-09-24 |
1104430263 | Annmarie Johnson-rowe Np In Psychiatry | Clinic/Center | 14240 249th St, Rosedale, NY 11422-2144 | 2020-09-04 |
1700499381 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc | Clinic/Center | 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 | 2020-08-25 |
1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
1740810282 | Therapeutic Solutions Ltd | Clinic/Center | 42 Main St Ste 201, Nyack, NY 10960-3204 | 2020-01-23 |
1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
1346706793 | North Shore Services | Clinic/Center | 175 E Main St Ste 109, Huntington, NY 11743-2954 | 2019-02-11 |
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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.