Organization Active NPI

Southerntier Mental Health Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Endicott, NY
National Provider Identifier
1306479555
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTHERNTIER MENTAL HEALTH COUNSELING, PLLC
Practice address
1635 Union Center Maine Hwy
Endicott, NY 13760-1340
Phone
(607) 239-5766
Fax
(607) 239-5857
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Mr. Andrew Edward Curran Jr.
Title
Business Manager
Phone
(315) 402-4417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1635 Union Center Maine Hwy
Endicott, NY 13760-1340

Mailing address

1635 Union Center Maine Hwy
Endicott, NY 13760-1340
Phone (607) 239-5766

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Endicott Direct
CONNECT URL Endicott Direct
CONNECT URL Endicott Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1306479555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 UNION CENTER MAINE HWY",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137601340",
            "telephone_number": "607-239-5766",
            "fax_number": "607-239-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 UNION CENTER MAINE HWY",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137601340",
            "telephone_number": "607-239-5766",
            "fax_number": "607-239-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNTIER MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "CURRAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "315-402-4417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Endicott",
            "affiliation": "N",
            "endpointDescription": "1635 Union Center - Maine HWY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Endicott",
            "address_1": "1635 Union Center Maine Hwy",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137601340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Endicott",
            "affiliation": "N",
            "endpointDescription": "1635 Union Center - Maine HWY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Endicott",
            "address_1": "1635 Union Center Maine Hwy",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137601340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Endicott",
            "affiliation": "N",
            "endpointDescription": "1635 Union Center - Maine HWY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Endicott",
            "address_1": "1635 Union Center Maine Hwy",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137601340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.