ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH NPI 1477626158

NPI Information

NPI: 1477626158
Provider Name: ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
530 CEDAR ST
DAY TREATMENT PROGRAM - SOULE ROAD SCHOOL
SYRACUSE, NY
ZIP 13210
Phone: (315) 435-7706
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ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH is a mental health (including community mental health center) clinic center in Syracuse, NY. ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH NPI is 1477626158. The provider is registered as an organization entity type.

The provider's business location address is:

530 CEDAR ST
DAY TREATMENT PROGRAM - SOULE ROAD SCHOOL
SYRACUSE, NY
ZIP 13210-302
Phone: (315) 435-7706
Fax: (315) 435-7715

The provider's authorized official is Robert C Long .
The authorized official title is Commissioner Of Ocdmh and has the following contact phone number (315) 435-3355.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 9/12/2012.

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)			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	00565031	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: 4/28/2024

NPI Synchronization or Removal

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