Organization Active NPI

Mental Health Association of the Southern Tier, Inc.

  • Voluntary or Charitable Agency
  • Binghamton, NY
National Provider Identifier
1073955092
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
MENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER, INC.
Practice address
47 Broad Avenue
Binghamton, NY 13904
Phone
(607) 771-8888
Fax
(607) 771-8892
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Mr. Keith Leahey
Title
Executive Director
Phone
(607) 771-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

47 Broad Avenue
Binghamton, NY 13904

Mailing address

47 Broad Avenue
Binghamton, NY 13904
Phone (607) 771-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612002870 NY Part B Supplier - Clinic/Group Practice 9335681741 Receives reassigned benefits from 1 practitioner
Practice locations: Binghamton, NY

National Provider Directory

National Provider Directory

Locations

47 Broad Ave
Binghamton, NY 13904
Phone (607) 765-7827

Practitioners & affiliated clinicians

Practitioners 3

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": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1073955092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BROAD AVENUE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13904",
            "telephone_number": "607-771-8888",
            "fax_number": "607-771-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BROAD AVENUE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13904",
            "telephone_number": "607-771-8888",
            "fax_number": "607-771-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "LEAHEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-771-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.