Active NPI
Central New York Services, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Syracuse, NY
National Provider Identifier
1316970221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 8403031
- Legal business name
- CENTRAL NEW YORK SERVICES, INC.
- Practice address
- 209 E Florence Ave
Syracuse, NY 13205-2051 - Phone
- (315) 492-1887
- Fax
- (315) 492-0934
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John J Warren, MS ED
- Title
- Executive Director
- Phone
- (315) 478-2453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 8403031 | NY | Primary |
Addresses
Primary practice location
209 E Florence Ave
Syracuse, NY 13205-2051
Mailing address
518 James St
Suite 240
Syracuse, NY 13203-2238
Phone (315) 478-2453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01304489 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Central New York Services Inc
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- Community/Behavioral Health Agency
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-
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-
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- Adult Mental Health Clinic/Center
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- Substance Abuse Rehabilitation Facility
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- Substance Use Disorder Rehabilitation Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221177600000",
"number": "1316970221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 JAMES ST",
"address_2": "SUITE 240",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032238",
"telephone_number": "315-478-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E FLORENCE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132052051",
"telephone_number": "315-492-1887",
"fax_number": "315-492-0934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL NEW YORK SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2008-09-12",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "315-478-2453",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS ED"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NY",
"license": "8403031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01304489",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.