The Children's Home of Kingston Ny

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

322D00000X Issued in NY

Legal business name

THE CHILDREN'S HOME OF KINGSTON NY

Practice address

26 Grove St
Kingston, NY 12401-3334

Phone

(845) 331-1448

Fax

(845) 334-9507

NPI assigned

May 14, 2008

Last updated

May 14, 2008By 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

Mrs. Gwendolyn B. McCann

Title

Executive Director, Ceo

Phone

(845) 331-1448

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Candita Rivera, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Kingston, NY
  • NPI 1518111921
  NPD (past)
• Kelsey Beth Vargas

  • Clinical Social Worker
  • Ulster Park, NY
  • NPI 1497551006
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1205003613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GROVE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013334",
            "telephone_number": "845-331-1448",
            "fax_number": "845-334-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GROVE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013334",
            "telephone_number": "845-331-1448",
            "fax_number": "845-334-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S HOME OF KINGSTON NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, CEO",
        "authorized_official_telephone_number": "845-331-1448",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "322D00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marcela Tellier
• Jonas Benjamin Telson, M.D.
• Sherry Tesler, BA
• Nancy Thakcer, LCSW-R; MSED
• The Best in Care Medical Transport
• The Children's Medical Group PLLC
• The Institute for Family Health
• The Institute for Family Health
• The Institute for Family Health
• The Institute for Family Health

• Emotionally Disturbed Childrens' Residential Treatment Facility in Kingston, NY
• Providers in Kingston, NY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.