Organization Active NPI

Suite E, Inc.

  • Adult Mental Health Clinic/Center
  • Vestal, NY
National Provider Identifier
1093909780
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
R053915 Issued in NY
Legal business name
SUITE E, INC.
Practice address
3209 Vestal Pkwy
Suite E
Vestal, NY 13850-2154
Phone
(607) 729-3003
Fax
(607) 729-3004
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mrs. Jodi Sue Lowry, L-CSW-RNPI 1104932151
Title
President
Phone
(607) 729-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R053915 NY Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X R053915 NY

Addresses

Primary practice location

3209 Vestal Pkwy
Suite E
Vestal, NY 13850-2154

Mailing address

3209 Vestal Pkwy
Suite E
Vestal, NY 13850-2154
Phone (607) 729-3003

Other names 1

  • Jodi Lowry Former legal business name

National Provider Directory

National Provider Directory

Locations

3209 Vestal Pkwy E
Ste E
Vestal, NY 13850
Phone (607) 729-3003

Practitioners & affiliated clinicians

Practitioners 2

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1093909780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 VESTAL PKWY",
            "address_2": "SUITE E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502154",
            "telephone_number": "607-729-3003",
            "fax_number": "607-729-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 VESTAL PKWY",
            "address_2": "SUITE E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502154",
            "telephone_number": "607-729-3003",
            "fax_number": "607-729-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITE E, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-729-3003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L-CSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "R053915",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "R053915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jodi Lowry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.