1952674012 NPI NUMBER - CATHOLIC FAMILY CENTER
Summary
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NPI Number |
1952674012 |
| Entity Type Code |
Organization |
| Provider Legal Name |
CATHOLIC FAMILY CENTER |
| Provider Business Practice Location Address |
87 N CLINTON AVE
ROCHESTER, NY
ZIP 14604
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| Practice Location Phone Number |
(585) 546-7220 |
| Provider Taxonomy Code |
261QM0801X - Clinic/Center |
| Specialization |
Mental Health (Including Community Mental Health Center) |
| Provider Enumeration Date |
2/20/2012 |
| Last Update Date |
2/20/2012 |
NPI Number 1952674012 is assigned to an organization registered under the healthcare provider name CATHOLIC FAMILY CENTER .
The provider is physically located at:
87 N CLINTON AVE
ROCHESTER, NY
ZIP 14604-455
Phone: (585) 546-7220
Fax: (585) 770-1116
The provider's authorized official is DEBORAH L. SPENCER .
The authorized official title is PSYCHIATRIC NURSE PRACTITIONER and has the following contact phone number (585) 546-7220 .
The enumeration date for this NPI number is 2/20/2012 and was last updated on 2/20/2012 .
Map - Location of Practice
Taxonomy Codes
The following information regarding the scope of practice of this provider is available:
| 1 |
261QM0801X |
Clinic/Center |
Mental Health (Including Community Mental Health Center) |
F401456-1 |
NY |
View Code |
Other (Legacy) Identifiers
The following legacy identifiers for this provider are available:
NPI Record
| 1 |
NPI |
1952674012 |
| 2 |
Entity Type Code |
2 |
| 3 |
Employer Identification Number EIN |
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| 4 |
Provider Organization Name Legal Business Name |
CATHOLIC FAMILY CENTER |
| 5 |
Provider First Line Business Practice Location Address |
87 N CLINTON AVE |
| 6 |
Provider Business Practice Location Address City Name |
ROCHESTER |
| 7 |
Provider Business Practice Location Address State Name |
NY |
| 8 |
Provider Business Practice Location Address Postal Code |
146041455 |
| 9 |
Provider Business Practice Location Address Country Code If outside U S |
US |
| 10 |
Provider Business Practice Location Address Telephone Number |
5855467220 |
| 11 |
Provider Business Practice Location Address Fax Number |
5857701116 |
| 12 |
Provider Enumeration Date |
2/20/2012 |
| 13 |
Last Update Date |
2/20/2012 |
| 14 |
Authorized Official Last Name |
SPENCER |
| 15 |
Authorized Official First Name |
DEBORAH |
| 16 |
Authorized Official Middle Name |
L. |
| 17 |
Authorized Official Title or Position |
PSYCHIATRIC NURSE PRACTITIONER |
| 18 |
Authorized Official Telephone Number |
5855467220 |
| 19 |
Healthcare Provider Taxonomy Code 1 |
261QM0801X |
| 20 |
Provider License Number 1 |
F401456-1 |
| 21 |
Provider License Number State Code 1 |
NY |
| 22 |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
| 23 |
Is Organization Subpart |
N |
| 24 |
Authorized Official Name Prefix Text |
MISS |
| 25 |
Authorized Official Credential Text |
NPP |
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This page was last updated on: 5/14/2013
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.