Family Advocacy Center, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAMILY ADVOCACY CENTER, INC.

Practice address

5639 Walker Rd
Deerfield, NY 13502-1249

Phone

(315) 797-8630

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Donna Wenz

Title

Executive Director

Phone

(315) 797-8630

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093855413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 WALKER RD",
            "city": "DEERFIELD",
            "state": "NY",
            "postal_code": "135021249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 WALKER RD",
            "city": "DEERFIELD",
            "state": "NY",
            "postal_code": "135021249",
            "telephone_number": "315-797-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADVOCACY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENZ",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-797-8630"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01998801",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01522605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana T. Durso, LCSW-R
• John Francis Giacovelli, RPH
• Patricia Mary Gross, REGISTERED NURSE
• Gregory Allen Kovacs, M.S.
• Salvatore F Nicolette Sr., R.T.(R), R.D.M.S,
• On Site Imaging Inc

• All providers in Deerfield, NY
• Case Management Agency in New York

• 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.