Active NPI
Asi of Cortland, LLC
- Community/Behavioral Health Agency
- Cortland, NY
National Provider Identifier
1063550465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ASI OF CORTLAND, LLC
- Practice address
- 17 Main St
Cortland, NY 13045-6606 - Phone
- (607) 756-4167
- Fax
- (607) 753-0608
- NPI assigned
- Feb 1, 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
- Mrs. Susan M. Neufang, LMSW, CASAC
- Title
- President Asi of Cortland, LLC
- Phone
- (607) 756-4167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NY | Primary |
Addresses
Primary practice location
17 Main St
Cortland, NY 13045-6606
Mailing address
17 Main St
Cortland, NY 13045-6606
Phone (607) 756-4167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02525840 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Asi of Cortland LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Cortland, NY
- NPI 1083915235
Locations
17 Main St
Cortland, NY 13045
Phone (607) 753-3798
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Cortland, NY
- NPI 1811289549
-
- Addiction (Substance Use Disorder) Counselor
- Cortland, NY
- NPI 1821318254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063550465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MAIN ST",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130456606",
"telephone_number": "607-756-4167",
"fax_number": "607-753-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MAIN ST",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130456606",
"telephone_number": "607-756-4167",
"fax_number": "607-753-0608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASI OF CORTLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NEUFANG",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT ASI OF CORTLAND, LLC",
"authorized_official_telephone_number": "607-756-4167",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW, CASAC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02525840",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortland, 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.