NPIMap

Organization Active NPI

Onondaga Case Management Services Inc.

Doing business as Circare

  • Case Management Agency
  • Syracuse, NY
National Provider Identifier
1235184235
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
NOT LICENSED IN NYS Issued in NY
Legal business name
ONONDAGA CASE MANAGEMENT SERVICES INC.
Doing business as
Circare
Practice address
620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463
Phone
(315) 472-7363
Fax
(315) 472-0084
NPI assigned
May 24, 2006
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Mr. Scott Ebner
Title
Executive Director
Phone
(315) 472-7363

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NOT LICENSED IN NYS NY Primary
Psychologist 103T00000X VARIOUS THERAPISTS NY
Social Worker 104100000X VARIOUS LICENSES NY
Prescribing (Medical) Psychologist 103TP0016X VARIOUS NY

Addresses

Primary practice location

620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463

Mailing address

620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463
Phone (315) 472-7363

Other practice location 1

620 Erie Blvd W Ste 208
Syracuse, NY 13204-2457
Phone (315) 472-7363 ext. 400

Other identifiers 7

IdentifierTypeStateIssuer
01212142MedicaidNY
BA1047OtherMCR PTAN
02717628MedicaidNY
8044025AOtherNYBEHAVIORAL HEALTH CLINIC-OMH OPERATING CERTIFICATE
8044479AOtherNYCASE MANAGEMENT OMH-OPERATING CERTIFICATE
02382218MedicaidNY
02994838MedicaidNY

Other names 1

  • Circare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000319 NY Part B Supplier - Clinic/Group Practice 0547367377 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Syracuse, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Onondaga Case Management Services 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

620 Erie Blvd W
Ste 208
Syracuse, NY 13204
Phone (315) 427-7363

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1235184235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042463",
            "telephone_number": "315-472-7363",
            "fax_number": "315-472-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042463",
            "telephone_number": "315-472-7363",
            "fax_number": "315-472-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Erie Blvd W Ste 208",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132042457",
            "country_code": "US",
            "telephone_number": "315-472-7363 x400",
            "fax_number": "315-701-2368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONONDAGA CASE MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-09-16",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "EBNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-472-7363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "NOT LICENSED IN NYS",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "VARIOUS THERAPISTS",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "VARIOUS LICENSES",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NY",
            "license": "VARIOUS",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01212142",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN",
            "identifier": "BA1047",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02717628",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH CLINIC-OMH OPERATING CERTIFICATE",
            "identifier": "8044025A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASE MANAGEMENT OMH-OPERATING CERTIFICATE",
            "identifier": "8044479A",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382218",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02994838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.