Catholic Charities of Fulton & Montgomery Counites

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CATHOLIC CHARITIES OF FULTON & MONTGOMERY COUNITES

Practice address

4 Nicholas St
Johnstown, NY 12095-1223

Phone

(518) 762-8313

Fax

(518) 762-4092

NPI assigned

Aug 11, 2008

Last updated

Aug 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CATHOLIC CHARITIES OF ALBANY DIOCESEAs reported in NPPES

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

Authorized official

Name

Mrs. Cari C. Ackerknecht

Title

Fiscal Director

Phone

(518) 762-8313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Catholic Family Commuity Services of Fulton Former legal business name

Part of

Catholic Charities of Diocese of Albany

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Catholic Charities of Diocese of Albany

  • Voluntary or Charitable Agency
  • Glens Falls, NY
  • NPI 1245369495
  NPPES parent name

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1144476185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NICHOLAS ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120951223",
            "telephone_number": "518-762-8313",
            "fax_number": "518-762-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NICHOLAS ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120951223",
            "telephone_number": "518-762-8313",
            "fax_number": "518-762-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF FULTON & MONTGOMERY COUNITES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF ALBANY DIOCESE",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ACKERKNECHT",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "FISCAL DIRECTOR",
        "authorized_official_telephone_number": "518-762-8313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Family Commuity Services of Fulton",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pamela Buchner
• Jane Elizabeth Cancio
• Caruso Eye and Retina Consultants L.L.C.
• Victoria Caruso, NP
• Kathleen M. Catalano, D.O.
• Cindy Christman, RN
• City of Johnstown
• Shannon Jane Colt, MD
• Community Health Center
• Community Health Center

• Mental Illness Community Based Residential Treatment Facility in Johnstown, NY
• Providers in Johnstown, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.