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COUNTY OF SULLIVAN NPI 1417987165


NPI Information

NPI: 1417987165
Provider Name: COUNTY OF SULLIVAN

Doing Business As: SULLIVAN COUNTY DEPARTMENT OF COMMUNITY SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
20 COMMUNITY LANE
LIBERTY, NY
ZIP 12754
Phone: (845) 292-8770
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COUNTY OF SULLIVAN is a community behavioral health in Liberty, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. COUNTY OF SULLIVAN NPI is 1417987165. The provider is registered as an organization entity type.
The provider Is Doing Business As Sullivan County Department Of Community Services.

The provider's business location address is:

20 COMMUNITY LANE
LIBERTY, NY
ZIP 12754-716
Phone: (845) 292-8770
Fax: (845) 292-4298

The provider's authorized official is Joseph Todora .
The authorized official title is Director and has the following contact phone number (845) 292-8770.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/7/2008.


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
1251B00000XCase ManagementNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5101YA0400XCounselorAddiction (Substance Use Disorder)No
6101YM0800XCounselorMental HealthNo
7104100000XSocial WorkerNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9261Q00000XClinic/CenterNo
10251S00000XCommunity/Behavioral HealthYes

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
101147777MEDICAIDNEW YORK
2143247OTHERNEW YORKVALUE OPTIONS
312443OTHERNEW YORKBEACON HEALTH
4143247OTHERNEW YORKGHI
5W02631MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
600398370MEDICAIDNEW 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: 5/5/2024

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