Berkshire Farm Center & Services for Youth
Organization Active NPI Community/Behavioral Health Agency · Rochester, NY
NPI 1376790766 · NPPES record last updated Aug 27, 2008
Key facts
- NPI
- 1376790766
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 05101054 (NY)
- Legal business name
- BERKSHIRE FARM CENTER & SERVICES FOR YOUTH
- Practice address
- 1059 Sibley Tower BLDG
Rochester, NY 14604 - Phone
- (585) 454-1620
- Fax
- (585) 454-6814
- NPI assigned
- Aug 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Timothy Giacchetta
- Title
- Ceo
- Phone
- (518) 781-4567
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Berkshire Farm Center Services for Youth
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 05101054 | NY | Yes |
Addresses
Primary practice location
1059 Sibley Tower BLDG
Rochester, NY 14604
Mailing address
13640 State Route 22
Canaan, NY 12029-3504
Phone (518) 781-4567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02825845 | Medicaid | NY |
Other providers in Rochester, NY
- Arjan Berkeljon
- Gail Berkes
- Julie Berkhof
- Jonathan P Berkner
- Berkshire Farm Center & Services for Youth
- Berkshire Farm Center &Services for Youth
- Berkshire Farm Center and Services for Youth
- Jason Berl
- Marc Norman Berliant
- Evelyn Olga Berman
All providers in Rochester, NY · Community/Behavioral Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.