Organization Active NPI

Family Service Society Inc

  • Community/Behavioral Health Agency
  • Corning, NY
National Provider Identifier
1033854567
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE SOCIETY INC
Practice address
280 Princeton Avenue Ext
Corning, NY 14830-1524
Phone
(607) 962-3148
Fax
(607) 962-8422
NPI assigned
Apr 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Dr. Cynthia Lyn Gee, PSYD, LMHCNPI 1265901201
Title
Executive Director
Phone
(607) 962-3148

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

280 Princeton Avenue Ext
Corning, NY 14830-1524

Mailing address

280 Princeton Avenue Ext
Corning, NY 14830-1524
Phone (607) 962-3148

Other identifiers 1

IdentifierTypeStateIssuer
05585704MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1033854567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PRINCETON AVENUE EXT",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148301524",
            "telephone_number": "607-962-3148",
            "fax_number": "607-962-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PRINCETON AVENUE EXT",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148301524",
            "telephone_number": "607-962-3148",
            "fax_number": "607-962-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE SOCIETY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-962-3148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05585704",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.