Active NPI
Economic Opportunity Program
- Case Manager/Care Coordinator
- Elmira, NY
National Provider Identifier
1023229473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- ECONOMIC OPPORTUNITY PROGRAM
- Doing business as
- Next Step
- Practice address
- 650 Baldwin St
Elmira, NY 14901-2216 - Phone
- (607) 734-6174
- NPI assigned
- May 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maryann Bryant
- Title
- Family Development Deputy Director
- Phone
- (607) 734-6174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
650 Baldwin St
Elmira, NY 14901-2216
Mailing address
650 Baldwin St
Elmira, NY 14901-2216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01047649 | Medicaid | NY |
Other names 1
- Next Step
National Provider Directory
National Provider Directory- Tax ID family
- Economic Opportunity Program
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Elmira, NY
- NPI 1770793341
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Elmira, NY
- NPI 1619971256
Locations
650 Baldwin St
Elmira, NY 14901
Phone (607) 734-6174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023229473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 BALDWIN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 BALDWIN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012216",
"telephone_number": "607-734-6174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECONOMIC OPPORTUNITY PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "MARYANN",
"authorized_official_title_or_position": "FAMILY DEVELOPMENT DEPUTY DIRECTOR",
"authorized_official_telephone_number": "607-734-6174"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01047649",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Next Step",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.