NPIMap

Organization Active NPI

Interim Healthcare of Rochester

  • Adult Mental Health Clinic/Center
  • Rochester, NY
National Provider Identifier
1114382280
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
8335001A Issued in NY
Legal business name
INTERIM HEALTHCARE OF ROCHESTER
Practice address
339 East Ave
Ste 303
Rochester, NY 14604-2627
Phone
(585) 434-2633
Fax
(585) 434-2635
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Ellen Hamburger
Title
Contract Specialist
Phone
(631) 689-8920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1060L001 NY
Adult Mental Health Clinic/Center 261QM0850X 8335001A NY Primary

Addresses

Primary practice location

339 East Ave
Ste 303
Rochester, NY 14604-2627

Mailing address

207 Hallock Rd
Suite 201
Stony Brook, NY 11790-3033
Phone (631) 689-8920

Other identifiers 1

IdentifierTypeStateIssuer
03157426MedicaidNY

Other names 1

  • Interim Mental Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Interim Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

207 Hallock Rd
Ste 201
Stony Brook, NY 11790
Phone (631) 689-8920

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1114382280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD",
            "address_2": "SUITE 201",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903033",
            "telephone_number": "631-689-8920",
            "fax_number": "631-689-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 EAST AVE",
            "address_2": "STE 303",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042627",
            "telephone_number": "585-434-2633",
            "fax_number": "585-434-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "HAMBURGER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "631-689-8920"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1060L001",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "8335001A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03157426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.