NPIMap

Organization Active NPI

Family Services of the Mohawk Valley Ince

  • Voluntary or Charitable Agency
  • Utica, NY
National Provider Identifier
1255388989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
FAMILY SERVICES OF THE MOHAWK VALLEY INCE
Practice address
401 Columbia St
Suite 200
Utica, NY 13502-3413
Phone
(315) 735-2236
Fax
(315) 735-9177
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Herbert Freeman Jr.
Title
Executive Director
Phone
(315) 735-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NY Primary

Addresses

Primary practice location

401 Columbia St
Suite 200
Utica, NY 13502-3413

Mailing address

401 Columbia St
Suite 200
Utica, NY 13502-3413
Phone (315) 735-2236

National Provider Directory

National Provider Directory

Locations

401 Columbia St
Ste 200
Utica, NY 13502
Phone (315) 735-2236

Practitioners & affiliated clinicians

Practitioners 5

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255388989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COLUMBIA ST",
            "address_2": "SUITE 200",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023413",
            "telephone_number": "315-735-2236",
            "fax_number": "315-735-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COLUMBIA ST",
            "address_2": "SUITE 200",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023413",
            "telephone_number": "315-735-2236",
            "fax_number": "315-735-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF THE MOHAWK VALLEY INCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-735-2236",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.