Organization Active NPI

Westside Community Care Management Corporation

  • Case Manager/Care Coordinator
  • Spencerport, NY
National Provider Identifier
1225758709
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
WESTSIDE COMMUNITY CARE MANAGEMENT CORPORATION
Practice address
24 West Ave Ste 203
Spencerport, NY 14559-1344
Phone
(716) 474-3563
Fax
(585) 617-4118
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Mr. Jamie Dimarco, LCSWNPI 1174976625
Title
Director
Phone
(716) 474-3563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

24 West Ave Ste 203
Spencerport, NY 14559-1344

Mailing address

5 Land Re Way Apt 36
Spencerport, NY 14559-1738
Phone (716) 474-3563

National Provider Directory

National Provider Directory

Locations

24 West Ave
Ste 203
Spencerport, NY 14559
Phone (585) 735-0060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1225758709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAND RE WAY APT 36",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591738",
            "telephone_number": "716-474-3563",
            "fax_number": "585-617-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEST AVE STE 203",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591344",
            "telephone_number": "716-474-3563",
            "fax_number": "585-617-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE COMMUNITY CARE MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-474-3563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.