NPIMap

Organization Active NPI

County of Orange

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newburgh, NY
National Provider Identifier
1295889806
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
7201105A Issued in NY
Legal business name
COUNTY OF ORANGE
Practice address
141 Broadway
Newburgh, NY 12550
Phone
(845) 568-5260
Fax
(845) 568-5213
NPI assigned
Jan 22, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Indira Smith
Title
Program Evaluation Assistant
Phone
(845) 291-2902

Other NPIs on the same Medicare enrollment 1

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

Corporate family (same tax ID) 16

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

Practitioners 23

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040312000995 NY Part B Supplier - Clinic/Group Practice 0648169185 Receives reassigned benefits from 40 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newburgh, NY; Port Jervis, NY

National Provider Directory

National Provider Directory
Tax ID family
County of Orange (17 organizations share this tax ID)

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7201105A NY Primary
Adult Mental Health Clinic/Center 261QM0850X 7201105A NY
Adolescent and Children Mental Health Clinic/Center 261QM0855X 7201105A NY

Addresses

NPPES NPI Registry

Primary practice location

141 Broadway
Newburgh, NY 12550

Mailing address

30 Harriman Drive
Goshen, NY 10924-2410
Phone (845) 291-2600

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00542503MedicaidNY
03004253MedicaidNY

Other names 3

NPPES NPI Registry
  • Orange County Dept. of Mental Health Doing business as
  • Child & Family Clinic Other name
  • County of Orange, Department of Mental Health Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2021.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1295889806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARRIMAN DRIVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-291-2600",
            "fax_number": "845-291-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-568-5260",
            "fax_number": "845-568-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ORANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "PROGRAM EVALUATION ASSISTANT",
        "authorized_official_telephone_number": "845-291-2902"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "7201105A",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "7201105A",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "7201105A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00542503",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03004253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Dept. of Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Child & Family Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "County of Orange, Department of Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.