UPSTATE CEREBRAL PALSY INC. NPI 1215098207

NPI Information

NPI: 1215098207
Provider Name: UPSTATE CEREBRAL PALSY, INC.
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Former Legal Business Name: UNITED CEREBRAL PALSY AND HANDICAPPED PERSONS
Address: 1002 OSWEGO ST
UTICA, NY
ZIP 13502
Phone: (315) 798-8868

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NPI Details

UPSTATE CEREBRAL PALSY, INC. is a mental health (including community mental health center) clinic center in Utica, NY. UPSTATE CEREBRAL PALSY, INC. NPI is 1215098207. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is United Cerebral Palsy And Handicapped Persons.

The provider's business location address is:

1002 OSWEGO ST
UTICA, NY
ZIP 13502-031
Phone: (315) 798-8868

The provider's authorized official is Geno Decondo .
The authorized official title is Executive Director and has the following contact phone number (315) 724-6907.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 4/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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)	01039156	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01039156	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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