LIBERTY RESOURCES, INC. (NPI# 1972144772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972144772 |
| Entity Type | Organization |
| Organization Name | LIBERTY RESOURCES, INC. |
| Practice Address |
1045 James St Syracuse NY 13203-2730 |
| Practice Telephone | 3154251004 |
| Practice Fax Number | 3154224855 |
| Mailing Telephone | 3154251004 |
| Mailing Fax Number | 3154224855 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | KELLI HARRIS (CFO) |
| Authorized Official Telephone | 3154251004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02994810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386948313 | Liberty Resources, Inc. | Community/Behavioral Health | 1850 County Route 57, Fulton, NY 13069-4908 | 2011-01-05 |
| 1639729452 | Liberty Resources, Inc. | Substance Abuse Rehabilitation Facility | 1045 James St, Syracuse, NY 13203-2730 | 2019-09-13 |
| 1821485483 | Liberty Resources, Inc. | Clinic/Center | 1045 James St, Syracuse, NY 13203-2758 | 2015-04-22 |
| 1780012286 | Liberty Resources, Inc. | In Home Supportive Care | 149 S Main St, Cortland, NY 13045-2926 | 2013-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIBERTY RESOURCES, INC. | 1045 James Street, Syracuse, New York 13203 |
| Indiana Business Entities | LIBERTY RESOURCES, INC. | 1357 West Silver Creek Lane, Liberty, IN 47353 |
| Street Address |
1045 JAMES ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912153 | Alida Anne Dejong | Registered Nurse | 1045 James St, Syracuse, NY 13203-2730 | 2005-06-16 |
| 1326648395 | Liberty Resources Psychology, Physical, Occupational and Speech Therap | Early Intervention Provider Agency | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-29 |
| 1083211619 | Tracy L. Eckstrand | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-06 |
| 1306458070 | Amy Marie Ruetsch | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-23 |
| 1891306742 | Nichole Dawn Slate | Social Worker | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-13 |
| 1245849280 | Louis Shirley | Peer Specialist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-27 |
| 1083232367 | Melissa Louise Potter | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-13 |
| 1881221885 | Kirsten Melville | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-27 |
| 1699302380 | Jennifer Breau | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-24 |
| 1679109771 | Lora M Denero | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801334024 | Anne E. Kearney | Community/Behavioral Health | 229 Robineau Rd, Syracuse, NY 13207-1643 | 2017-02-08 |
| 1336687490 | Nustep Professional Counseling Services | Community/Behavioral Health | 505 E Fayette St, Suite 216, Syracuse, NY 13202-1975 | 2017-02-08 |
| 1245786557 | Darwin P. Crosland / Abundant Life Social Services | Community/Behavioral Health | 2813 S 2400 W, Syracuse, UT 84075-8669 | 2016-08-27 |
| 1518190602 | Central New York Services | Community/Behavioral Health | 375 W. Onondaga St, Suite 10, Syracuse, NY 13202-1888 | 2009-08-24 |
| 1205031598 | The Salvation Army | Community/Behavioral Health | 677 South Salina Street, Syracuse, NY 13202 | 2007-06-18 |
| 1396209714 | Julie Chilson | Community/Behavioral Health | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-01-30 |
| 1699250696 | Onondaga Case Management Services Inc. | Community/Behavioral Health | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-09-26 |
| 1629566344 | Onondaga Case Management Services Inc. | Community/Behavioral Health | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-04-27 |
| 1336686393 | Liberty Resources Inc. | Community/Behavioral Health | 1045 James St, Syracuse, NY 13203-2730 | 2017-01-27 |
| 1962875484 | Hutchings Psychiatric Center | Community/Behavioral Health | 650 Madison St, Syracuse, NY 13210-2319 | 2015-11-05 |
| Find all providers in SYRACUSE | ||||
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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.