NPIMap

Organization Active NPI

Delaware County Community Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Walton, NY
National Provider Identifier
1326135237
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DELAWARE COUNTY COMMUNITY SERVICES
Practice address
243 Delaware Street
Walton, NY 13856
Phone
(607) 832-5888
Fax
(607) 832-6081
NPI assigned
Oct 10, 2006
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Cynthia Heaney
Title
Director of Community Services
Phone
(607) 832-5694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

243 Delaware Street
Walton, NY 13856

Mailing address

243 Delaware Street
Walton, NY 13856
Phone (607) 832-5888

Other identifiers 1

IdentifierTypeStateIssuer
03094093MedicaidNY

Other names 1

  • Delaware County Alcohol & Drug Abuse Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Joel H Hammer8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

34570 State Highway 10
Ste 5
Hamden, NY 13782
Phone (607) 832-5675

243 Delaware St
Walton, NY 13856
Phone (607) 832-5888

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1326135237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 DELAWARE STREET",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "13856",
            "telephone_number": "607-832-5888",
            "fax_number": "607-832-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 DELAWARE STREET",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "13856",
            "telephone_number": "607-832-5888",
            "fax_number": "607-832-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "HEANEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "607-832-5694"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03094093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware County Alcohol & Drug Abuse Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Delaware County Alcohol & Drug Abuse Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.