Organization Active NPI

Greene County Public Health

  • Early Intervention Provider Agency
  • Catskill, NY
National Provider Identifier
1326015553
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENE COUNTY PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03003743MedicaidNY

Other names 1

  • Early Intervention Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Greene County Mental Health Clinic9 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.