Children's Home of Jefferson County

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

00009545 Issued in NY

Legal business name

CHILDREN'S HOME OF JEFFERSON COUNTY

Practice address

1704 State Street
Watertown, NY 13601

Phone

(315) 788-7430

Fax

(315) 785-5637

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Lynn Monnat, LMHCNPI 1982130738

Title

President and Ceo

Phone

(315) 777-9747

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Children's Home of Jefferson County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Children's Home of Jefferson County

  • Community/Behavioral Health Agency
  • Watertown, NY
  • NPI 1538455696
  NPD tax ID
• Children's Home of Jefferson County

  • Case Management Agency
  • Watertown, NY
  • NPI 1770625527
  NPD tax ID
• Childrens HM Jefferson Cnty B2H

  • Foster Care Agency
  • Watertown, NY
  • NPI 1972828697
  NPD tax ID

Locations

Practitioners 1

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.

• Michelle Lynn Monnat

  • Mental Health Counselor
  • Watertown, NY
  • NPI 1982130738
  Authorized official Same address or phone

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1053453886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6550",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016550",
            "telephone_number": "315-788-7430",
            "fax_number": "315-785-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 STATE STREET",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-788-7430",
            "fax_number": "315-785-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 State Highway 310",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136171436",
            "country_code": "US",
            "telephone_number": "315-788-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S HOME OF JEFFERSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MONNAT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "315-777-9747",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "00009545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00487210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lynn Chase
• Chatterbox Speech and Language Therapy Services
• Mary Anne Chiappone, L. AC.
• Child and Adolescent Health Associates
• Daniel Joseph Childers
• Children's Home of Jefferson County
• Children's Home of Jefferson County
• Childrens HM Jefferson Cnty B2H
• Catherine Chipp
• Biren V Chokshi, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Watertown, NY
• Providers in Watertown, NY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.