NPIMap

Organization Active NPI

Cny Marriage & Family Therapy Place

  • Marriage & Family Therapist
  • North Syracuse, NY
National Provider Identifier
1083928972
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000246 Issued in NY
Legal business name
CNY MARRIAGE & FAMILY THERAPY PLACE
Practice address
792 N Main St
Suite 200E
North Syracuse, NY 13212-1644
Phone
(315) 299-6975
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Mrs. Karrie D Damm, LMFT
Title
Therapist
Phone
(315) 299-6975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 000246 NY Primary

Addresses

Primary practice location

792 N Main St
Suite 200E
North Syracuse, NY 13212-1644

Mailing address

792 N Main St
Suite 200E
North Syracuse, NY 13212-1644
Phone (315) 299-6975

National Provider Directory

National Provider Directory

Locations

792 N Main St
Ste 200E
North Syracuse, NY 13212
Phone (315) 299-6975

Practitioners & affiliated clinicians

Practitioners 4

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": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1083928972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "SUITE 200E",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-299-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "SUITE 200E",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-299-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY MARRIAGE & FAMILY THERAPY PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "DAMM",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "315-299-6975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.