Active NPI
Greene County Public Health
- Early Intervention Provider Agency
- Catskill, NY
National Provider Identifier
1326015553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- GREENE COUNTY PUBLIC HEALTH
- Practice address
- 411 Main St.
3Rd Floor
Catskill, NY 12414-1358 - Phone
- (518) 719-3617
- Fax
- (518) 719-3779
- NPI assigned
- Mar 7, 2006
- Last updated
- Feb 11, 2015
- Organization subpart
- Yes
- Parent organization
- GREENE COUNTY PUBLIC HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Clark, RN, BSN
- Title
- Director of Services for Children W
- Phone
- (518) 719-3617
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 1952600 | NY | |
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
411 Main St.
3Rd Floor
Catskill, NY 12414-1358
Mailing address
411 Main St
3Rd Floor, Suite 300
Catskill, NY 12414-1358
Phone (518) 719-3617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03003743 | Medicaid | NY |
Other names 1
- Early Intervention Program
National Provider Directory
National Provider Directory- Tax ID family
- Greene County Mental Health Clinic
- Part of
- Greene County Mental Health Clinic
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Catskill, NY
- NPI 1205348612
-
dba Greene County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cairo, NY
- NPI 1255360046
-
- Public Health or Welfare Agency
- Catskill, NY
- NPI 1285745349
-
- Case Management Agency
- Cairo, NY
- NPI 1033360201
-
- Community/Behavioral Health Agency
- Cairo, NY
- NPI 1275784795
-
- Case Management Agency
- Catskill, NY
- NPI 1114056777
-
- Local Education Agency (LEA)
- Catskill, NY
- NPI 1134277122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423612800000",
"number": "1326015553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 MAIN ST",
"address_2": "3RD FLOOR, SUITE 300",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141358",
"telephone_number": "518-719-3617",
"fax_number": "518-719-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MAIN ST.",
"address_2": "3RD FLOOR",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141358",
"telephone_number": "518-719-3617",
"fax_number": "518-719-3779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENE COUNTY PUBLIC HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREENE COUNTY PUBLIC HEALTH",
"enumeration_date": "2006-03-07",
"last_updated": "2015-02-11",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "DIRECTOR OF SERVICES FOR CHILDREN W",
"authorized_official_telephone_number": "518-719-3617",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NY",
"license": "1952600",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03003743",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Early Intervention Program",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Catskill, NY
- Diane Lynn Gotebiowski, P.T.
- Matthew P Grassi, RPH
- Green Manor Dialysis Center LLC (Northern Hudson Valley Dialysis Center)
- Greene County Public Health
- Greene County Public Health
- Greene Medical Arts Pharmacy
- Greene Medical Imaging PC
- Greene Pharma LLC (Greene Medical Arts Pharmacy)
- Greene Pharma LLC (Greene Medical Arts Pharmacy)
- Susan Grubb, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.