NPIMap

Organization Active NPI

County of Wayne

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyons, NY
National Provider Identifier
1003824855
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6898100A Issued in NY
Legal business name
COUNTY OF WAYNE
Practice address
1519 Nye Road
Lyons, NY 14489
Phone
(315) 946-5722
Fax
(315) 946-7079
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon Conaty Macdougall, MBA, MS, MSW, LCSW-R
Title
Director of Community Services
Phone
(716) 201-2518

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6898100A NY Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 090511102 NY

Addresses

Primary practice location

1519 Nye Road
Lyons, NY 14489

Mailing address

1519 Nye Rd Ste 110
Lyons, NY 14489-9112
Phone (315) 946-5722

Other names 1

  • Wayne Behavioral Health Network Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000103 NY Part B Supplier - Clinic/Group Practice 8921919994 Receives reassigned benefits from 39 practitioners
Practice locations: Lyons, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wayne County Dept of Aging and Youth13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1519 Nye Rd
Ste 100
Lyons, NY 14489
Phone (315) 946-5722

7376 Route 31
Ste 2100
Lyons, NY 14489
Phone (315) 946-5640

4048 Park Dr
Marion, NY 14505
Phone (315) 926-0237

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wayne County Nursing HomeLyons, NY, CCN 335406 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 May 14, 2005
May 14, 2005
May 14, 2005
May 14, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Wayne

    dba Wayne County Nursing Home

    • Skilled Nursing Facility
    • Lyons, NY
    • NPI 1568534717

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1003824855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 NYE RD STE 110",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899112",
            "telephone_number": "315-946-5722",
            "fax_number": "315-946-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 NYE ROAD",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "14489",
            "telephone_number": "315-946-5722",
            "fax_number": "315-946-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "MACDOUGALL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "CONATY",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "716-201-2518",
        "authorized_official_credential": "MBA, MS, MSW, LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6898100A",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "090511102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Behavioral Health Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lyons, NY

Sources for this page

Verify at the official NPI Registry.