Organization Active NPI

Central New York Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Syracuse, NY
National Provider Identifier
1316970221
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
8403031 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01304489MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Central New York Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

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.

Verify at the official NPI Registry.