UPSTATE CEREBRAL PALSY INC NPI 1780636506

NPI Information

NPI: 1780636506
Provider Name: UPSTATE CEREBRAL PALSY, INC

Former Legal Business Name: UNITED CEREBRAL PALSY & HANDICPPED PERSONS ASSN.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1002 OSWEGO ST
UTICA, NY
ZIP 13502
Phone: (315) 798-8868
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UPSTATE CEREBRAL PALSY, INC is a mental health counselor in Utica, NY. UPSTATE CEREBRAL PALSY, INC NPI is 1780636506. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is United Cerebral Palsy & Handicpped Persons Assn..

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 5/17/2006 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	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
4	207Q00000X	Family Medicine		No
5	213E00000X	Podiatrist		No
6	261Q00000X	Clinic/Center		No
7	101YM0800X	Counselor	Mental Health	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
1	00474180	MEDICAID	NEW YORK
2	01039156	MEDICAID	NEW YORK
3	07485394	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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