Active NPI
Mental Health Association of the Southern Tier, Inc.
- Voluntary or Charitable Agency
- Binghamton, NY
National Provider Identifier
1073955092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Binghamton, NY
- NPI 1952823395
-
- Mental Health Counselor
- Binghamton, NY
- NPI 1649649203
-
- Mental Health Counselor
- Newark Valley, NY
- NPI 1639857584
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.