Family Support in Central New York, Inc.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

FAMILY SUPPORT IN CENTRAL NEW YORK, INC.

Practice address

155 Madison St
Oneida, NY 13421-1743

Phone

(315) 941-2520

NPI assigned

Oct 31, 2016

Last updated

Dec 11, 2018By 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

Joan A Godlewski

Title

Family Peer Advocate

Phone

(315) 794-4590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1073065561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 WHITTAKER RD",
            "city": "HOLLAND PATENT",
            "state": "NY",
            "postal_code": "133544343",
            "telephone_number": "315-794-5799",
            "fax_number": "315-768-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MADISON ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211743",
            "telephone_number": "315-941-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9582 Whittaker Rd",
            "address_purpose": "LOCATION",
            "city": "Holland Patent",
            "state": "NY",
            "postal_code": "133544343",
            "country_code": "US",
            "telephone_number": "315-794-5799",
            "fax_number": "315-768-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY SUPPORT IN CENTRAL NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "GODLEWSKI",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY PEER ADVOCATE",
        "authorized_official_telephone_number": "315-794-4590"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Oneida, NY
• Providers in Oneida, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.