NPIMap

Organization Active NPI

Mary Cariola Children's Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fairport, NY
National Provider Identifier
1114227659
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
482354 Issued in NY
Legal business name
MARY CARIOLA CHILDREN'S CENTER
Practice address
6239 Pittsford Palmyra Rd
Fairport, NY 14450-3123
Phone
(585) 223-7847
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Anna Lynn Brink
Title
Director of Community Services
Phone
(585) 298-0389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 482354 NY Primary

Addresses

Primary practice location

6239 Pittsford Palmyra Rd
Fairport, NY 14450-3123

Mailing address

8167 Feather St
Naples, NY 14512-9238
Phone (585) 223-7847

National Provider Directory

National Provider Directory
Tax ID family
Mary Cariola Children's Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1114227659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 FEATHER ST",
            "city": "NAPLES",
            "state": "NY",
            "postal_code": "145129238",
            "telephone_number": "585-223-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503123",
            "telephone_number": "585-223-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CARIOLA CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "ANNA LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "585-298-0389"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "482354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.