Cnyddso

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

007106-1 Issued in NY

Legal business name

CNYDDSO

Practice address

1315 Schuyler St
Rome, NY 13440-2825

Phone

(315) 794-4469

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Kent A Myers

Title

Senior OT

Phone

(315) 339-6536

Specialties & licenses 1

Addresses

Other names 1

• opwdd Other name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• New York State Opwdd

  • Voluntary or Charitable Agency
  • Camden, NY
  • NPI 1891152724
  NPPES parent name

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1356700488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SCHUYLER ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-794-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 SCHUYLER ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402825",
            "telephone_number": "315-794-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNYDDSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR OT",
        "authorized_official_telephone_number": "315-339-6536"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "007106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "opwdd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Layne Ciecko, DC
• Dawn Eileen Cimo-Hewitt, RPH
• Olivia Livingston Edmonds Clarke, LMSW
• Cynthia Clifford-Clark
• Cny Medicine & Allergy PC
• Lisa Colasanti
• Carolyn A Cole, N.P.
• Eileen Mary Cole, PT
• Colleen Vernold, LCSW-R Counseling Services
• Karen Lee Collins, P.T.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rome, NY
• Providers in Rome, NY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.