Active NPI
Catholic Charities of the Diocese of Rochester
- Mental Illness Community Based Residential Treatment Facility
- Elmira, NY
National Provider Identifier
1083772628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER
- Practice address
- 215 E Church St
Suite 302
Elmira, NY 14901-2743 - Phone
- (607) 734-9784
- Fax
- (607) 734-6588
- NPI assigned
- Dec 5, 2006
- 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
- Ms. Bridget Steed
- Title
- Executive Director
- Phone
- (607) 734-9784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
215 E Church St
Suite 302
Elmira, NY 14901-2743
Mailing address
215 E Church St
Suite 100
Elmira, NY 14901-2743
Phone (607) 734-9784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01304723 | Medicaid | NY |
Other names 1
- Catholic Charities of Chemung Schuyler
National Provider Directory
National Provider DirectoryLocations
215 E Church St
Ste 100
Elmira, NY 14901
215 E Church St
Ste 302
Elmira, NY 14901
Phone (607) 734-9784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083772628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E CHURCH ST",
"address_2": "SUITE 100",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012743",
"telephone_number": "607-734-9784",
"fax_number": "607-734-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E CHURCH ST",
"address_2": "SUITE 302",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012743",
"telephone_number": "607-734-9784",
"fax_number": "607-734-6588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEED",
"authorized_official_first_name": "BRIDGET",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "607-734-9784",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01304723",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Catholic Charities of Chemung Schuyler",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmira, 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.