CATHOLIC FAMILY CENTER - NPI NUMBER 1952674012

Summary

Provider Name: CATHOLIC FAMILY CENTER

NPI Number: 1952674012

Clasification: Clinic/Center (261QM0801X)

Specialization: Mental Health (Including Community Mental Health Center)

Address:
87 N CLINTON AVE
ROCHESTER, NY
ZIP 14604

Phone Number: (585) 546-7220



Detailed Information

CATHOLIC FAMILY CENTER is a mental health (including community mental health center) clinic/center in Rochester, NY. The assigned NPI number for this provider is 1952674012 and is registered as an organization entity type.

The provider's business address is:

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

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) F401456-1 NY Yes

NPI Record

No. Field Name Field Value
1 NPI 1952674012
2 Entity Type Code 2
3 Employer Identification Number EIN
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: 10/12/2014
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.