NPIMap

Organization Active NPI

Cac Foundation, Inc.

Doing business as Oswego County Child Advocacy Center

  • Community/Behavioral Health Agency
  • Fulton, NY
National Provider Identifier
1235548850
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW-187-48 Issued in NY
Legal business name
CAC FOUNDATION, INC.
Doing business as
Oswego County Child Advocacy Center
Practice address
301 Beech St
Fulton, NY 13069-2409
Phone
(315) 592-4453
Fax
(315) 598-7158
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Ms. Karrie D Damm, LMFT
Title
Executive Director
Phone
(315) 592-4453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CW-187-48 NY Primary

Addresses

Primary practice location

301 Beech St
Fulton, NY 13069-2409

Mailing address

301 Beech St
Fulton, NY 13069-2409
Phone (315) 592-4453

Other names 1

  • Oswego County Child Advocacy Center Doing business as

National Provider Directory

National Provider Directory

Locations

163 S 1st St
Fulton, NY 13069
Phone (315) 427-3899

301 Beech St
Fulton, NY 13069
Phone (315) 592-4453

3850 State Route 13
Pulaski, NY 13142
Phone (315) 592-4453

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1235548850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BEECH ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692409",
            "telephone_number": "315-592-4453",
            "fax_number": "315-598-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BEECH ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692409",
            "telephone_number": "315-592-4453",
            "fax_number": "315-598-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAC FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "DAMM",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-592-4453",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "CW-187-48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oswego County Child Advocacy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulton, NY

Sources for this page

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