NPIMap

Organization Active NPI

Mental Health Services of Erie County Secv

Doing business as Spectrum Human Services

  • Community/Behavioral Health Agency
  • Buffalo, NY
National Provider Identifier
1346414224
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
080110870 Issued in NY
Legal business name
MENTAL HEALTH SERVICES OF ERIE COUNTY SECV
Doing business as
Spectrum Human Services
Practice address
2040 Seneca St
Buffalo, NY 14210-2324
Phone
(716) 828-0560
Fax
(716) 828-1522
NPI assigned
Apr 22, 2008
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Bruce NisbetNPI 1801185947
Title
Ceo/President
Phone
(716) 662-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 080110870 NY Primary

Addresses

Primary practice location

2040 Seneca St
Buffalo, NY 14210-2324

Mailing address

227 Thorn Ave
Box 631
Orchard Park, NY 14127-2600
Phone (716) 662-2040

Other identifiers 5

IdentifierTypeStateIssuer
00011227702OtherNYUNIVERA
00660577MedicaidNY
8401220OtherNYIHA
040727000154OtherNYMEDICAID MANAGED CARE
000000812000OtherNYBCBS

Other names 1

  • Spectrum Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Services of Erie County Secv17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1346414224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 THORN AVE",
            "address_2": "BOX 631",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272600",
            "telephone_number": "716-662-2040",
            "fax_number": "716-662-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102324",
            "telephone_number": "716-828-0560",
            "fax_number": "716-828-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SERVICES OF ERIE COUNTY SECV",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "NISBET",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "716-662-2040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "080110870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011227702",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660577",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "8401220",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MANAGED CARE",
            "identifier": "040727000154",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000812000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.