NPIMap

Organization Active NPI

Central Ny Mental Health Services

  • Behavior Analyst
  • Utica, NY
National Provider Identifier
1033353024
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
232467 Issued in NY
Legal business name
CENTRAL NY MENTAL HEALTH SERVICES
Practice address
286 Genesee St
Utica, NY 13502-4639
Phone
(315) 266-0600
Fax
(315) 266-0611
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Dr. Minhaj U Siddiqi, MDNPI 1598858458
Title
Owner
Phone
(315) 266-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 232467 NY Primary

Addresses

Primary practice location

286 Genesee St
Utica, NY 13502-4639

Mailing address

286 Genesee St
Utica, NY 13502-4639
Phone (315) 266-0600

Other identifiers 1

IdentifierTypeStateIssuer
02695325MedicaidNY

National Provider Directory

National Provider Directory

Locations

286 Genesee St
Utica, NY 13502
Phone (315) 266-0600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1033353024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "315-266-0600",
            "fax_number": "315-266-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "315-266-0600",
            "fax_number": "315-266-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "MINHAJ",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-266-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "232467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02695325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.