Organization Active NPI

Debora Vanderveer

  • Public Health or Welfare Agency
  • Auburn, NY
National Provider Identifier
1346438611
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEBORA VANDERVEER
Practice address
17 E Genesee St
Auburn, NY 13021-4040
Phone
(315) 253-4316
Fax
(315) 253-3255
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Mrs. Claire Bobrckiy, LCSW
Title
Clinic Plus Supervisor
Phone
(315) 253-9795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

17 E Genesee St
Auburn, NY 13021-4040

Mailing address

8816 Wandering Way
Baldwinsville, NY 13027-1513
Phone (315) 253-4316

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1346438611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 WANDERING WAY",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271513",
            "telephone_number": "315-253-4316",
            "fax_number": "315-253-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214040",
            "telephone_number": "315-253-4316",
            "fax_number": "315-253-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORA VANDERVEER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BOBRCKIY",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "CLINIC PLUS SUPERVISOR",
        "authorized_official_telephone_number": "315-253-9795",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.