Family Peer Support Services of Chautauqua County, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FAMILY PEER SUPPORT SERVICES OF CHAUTAUQUA COUNTY, INC.

Practice address

2 Academy St RM 202
Mayville, NY 14757-1050

Phone

(716) 753-4157

Fax

(716) 753-9768

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Melody Sue Morris

Title

Executive Director

Phone

(716) 753-4157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1366998908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ACADEMY STREET, SUITE 202",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "14757",
            "telephone_number": "716-753-4157",
            "fax_number": "716-753-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ACADEMY ST RM 202",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571050",
            "telephone_number": "716-753-4157",
            "fax_number": "716-753-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PEER SUPPORT SERVICES OF CHAUTAUQUA COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-753-4157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody A Dejohn
• Wendy Douglas, RN
• Amanda Dove
• Eckerd Corporation
• Shauna Erickson
• Cassandra Leigh Farrell
• Matthew Shane Fisher
• Kislyn Frary
• Laura Freville, LPN
• Robin Heather Fuentes

• All providers in Mayville, NY
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.