Organization Active NPI

Young Womens Christian Association of Ulster County

  • Case Management Agency
  • Kingston, NY
National Provider Identifier
1346317591
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
01054122 Issued in NY
Legal business name
YOUNG WOMENS CHRISTIAN ASSOCIATION OF ULSTER COUNTY
Practice address
209 Clinton Ave
Kingston, NY 12401-5030
Phone
(845) 338-6844
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Andrea Park
Title
Executive Director
Phone
(845) 338-6844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 01054122 NY Primary

Addresses

Primary practice location

209 Clinton Ave
Kingston, NY 12401-5030

Mailing address

209 Clinton Ave
Kingston, NY 12401-5030
Phone (845) 338-6844

Other identifiers 1

IdentifierTypeStateIssuer
01054122OtherNYPROVIDER ID

National Provider Directory

National Provider Directory

Locations

209 Clinton Ave
Kingston, NY 12401
Phone (845) 338-6844

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1346317591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CLINTON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015030",
            "telephone_number": "845-338-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CLINTON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015030",
            "telephone_number": "845-338-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG WOMENS CHRISTIAN ASSOCIATION OF ULSTER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-338-6844"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "01054122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "01054122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.