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KIDS ONEIDA INC. NPI 1770787079


NPI Information

NPI: 1770787079
Provider Name: KIDS ONEIDA, INC.

Former Legal Business Name: INTEGRATED COMMUNITY ALTERNATIVES NETWORK, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
310 MAIN STREET
KIDS ONEIDA, INC.
UTICA, NY
ZIP 13501
Phone: (315) 731-2607
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KIDS ONEIDA, INC. is a community behavioral health in Utica, 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. KIDS ONEIDA, INC. NPI is 1770787079. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Integrated Community Alternatives Network, Inc..

The provider's business location address is:

310 MAIN STREET
KIDS ONEIDA, INC.
UTICA, NY
ZIP 13501-236
Phone: (315) 731-2607
Fax: (315) 792-9578

The provider's authorized official is Robert J. Roberts .
The authorized official title is Ceo/executive Director and has the following contact phone number (315) 731-2645.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 3/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management1770787079NEW YORKNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)9063120ANEW YORKNo
3251S00000XCommunity/Behavioral Health1770787079NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102276286MEDICAIDNEW 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: 11/14/2023

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