NPIMap

Organization Active NPI

United Cerebral Palsy of Ulster County Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lake Katrine, NY
National Provider Identifier
1205008794
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
UNITED CEREBRAL PALSY OF ULSTER COUNTY INC.
Practice address
234 Tuytenbridge Rd
Lake Katrine, NY 12449-5429
Phone
(845) 336-7235
Fax
(845) 336-4726
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Ms. Pamela Carroad
Title
Executive Director
Phone
(845) 336-7235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

234 Tuytenbridge Rd
Lake Katrine, NY 12449-5429

Mailing address

PO Box 1488
Kingston, NY 12402-1488
Phone (845) 336-7235

Other identifiers 1

IdentifierTypeStateIssuer
01112252MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy of Ulster County Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

234 Tuytenbridge Rd
Lake Katrine, NY 12449
Phone (845) 336-7235

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1205008794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124021488",
            "telephone_number": "845-336-7235",
            "fax_number": "845-336-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 TUYTENBRIDGE RD",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495429",
            "telephone_number": "845-336-7235",
            "fax_number": "845-336-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF ULSTER COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "CARROAD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-336-7235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01112252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.