Fulton County Mental Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

6862100A Issued in NY

Legal business name

FULTON COUNTY MENTAL HEALTH

Practice address

57 E Fulton St
Gloversville, NY 12078-3212

Phone

(518) 773-3531

Fax

(518) 773-9103

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ernest J Gagnon, LMSW

Title

Director of Community Services

Phone

(518) 773-3531

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366415531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E FULTON ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783212",
            "telephone_number": "518-773-3531",
            "fax_number": "518-773-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E FULTON ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783212",
            "telephone_number": "518-773-3531",
            "fax_number": "518-773-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "518-773-3531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "6862100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00562863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian W Fox
• John Michael Fox, DDS
• Anthony Franks
• Leah Freundlich
• Fulton County Addiction Services
• Fulton County RHCF Pharmacy
• Fulton Operations Associates LLC
• Fulton Optical Corp
• Gabrielle Ann Gable
• Amy Lee Gagne, FNP

• Public Health or Welfare Agency in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Public Health or Welfare Agency in New York

• 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.