Northern Regional Center for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHERN REGIONAL CENTER FOR INDEPENDENT LIVING

Practice address

210 Court St Ste 107
Watertown, NY 13601-4547

Phone

(315) 785-8703

Fax

(315) 785-8612

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Aileen Martin

Title

Executive Director

Phone

(315) 785-8703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1184027955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COURT ST STE 107",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014547",
            "telephone_number": "315-785-8703",
            "fax_number": "315-785-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COURT ST STE 107",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014547",
            "telephone_number": "315-785-8703",
            "fax_number": "315-785-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN REGIONAL CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-785-8703",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Watertown, NY
• Providers in Watertown, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.