Organization Active NPI

Buffalo Centre for the Treatment of Eating Disorders

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1033419213
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BUFFALO CENTRE FOR THE TREATMENT OF EATING DISORDERS
Practice address
600 E Genesee St
Suite 217
Syracuse, NY 13202-2100
Phone
(315) 422-0300
Fax
(315) 479-8455
NPI assigned
Oct 22, 2010
Organization subpart
Yes
Parent organization
CENTRE SYRACUSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Ronald C Fish, PH D
Title
Member
Phone
(315) 422-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X NY Primary

Addresses

Primary practice location

600 E Genesee St
Suite 217
Syracuse, NY 13202-2100

Mailing address

95 John Muir Drive
Amherst, NY 14228
Phone (716) 276-6939

National Provider Directory

National Provider Directory
Part of
Centre Syracuse LLC

Locations

95 John Muir Dr
Ste 104
Amherst, NY 14228
Phone (716) 276-6939

95 John Muir Dr
Buffalo, NY 14228
Phone (716) 250-4137

3300 James St
Ste 200
Syracuse, NY 13206
Phone (315) 671-2202

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1033419213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 JOHN MUIR DRIVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14228",
            "telephone_number": "716-276-6939",
            "fax_number": "315-479-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GENESEE ST",
            "address_2": "SUITE 217",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022100",
            "telephone_number": "315-422-0300",
            "fax_number": "315-479-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO CENTRE FOR THE TREATMENT OF EATING DISORDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRE SYRACUSE",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-422-0300",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.