Organization Active NPI

Catholic Charities of the Diocese of Rochester

  • Mental Illness Community Based Residential Treatment Facility
  • Elmira, NY
National Provider Identifier
1083772628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01304723MedicaidNY

Other names 1

  • Catholic Charities of Chemung Schuyler Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.