NPIMap

Organization Active NPI

Citizen Advocates Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Malone, NY
National Provider Identifier
1356553671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
6521453 Issued in NY
Legal business name
CITIZEN ADVOCATES INC
Practice address
14823 State Route 30
Malone, NY 12953-4815
Phone
(518) 483-6002
Fax
(518) 481-6235
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gregory I Langdon
Title
Executive Director
Phone
(518) 483-1251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 6521453 NY Primary

Addresses

Primary practice location

14823 State Route 30
Malone, NY 12953-4815

Mailing address

PO Box 608
209 Park Street
Malone, NY 12953-0608
Phone (518) 483-1251

Other identifiers 1

IdentifierTypeStateIssuer
00942443MedicaidNY

Other names 1

  • CONSTABLE B ICF Other name

National Provider Directory

National Provider Directory
Tax ID family
Citizen Advocates Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

14823 State Route 30
Malone, NY 12953
Phone (518) 483-6002

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356553671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "address_2": "209 PARK STREET",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129530608",
            "telephone_number": "518-483-1251",
            "fax_number": "518-483-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14823 STATE ROUTE 30",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129534815",
            "telephone_number": "518-483-6002",
            "fax_number": "518-481-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN ADVOCATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-483-1251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "6521453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00942443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONSTABLE B ICF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.