NPIMap

Organization Active NPI

Erie County Southeast Corp V

Doing business as Spectrum Human Services

  • Community/Behavioral Health Agency
  • Buffalo, NY
National Provider Identifier
1376890798
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ERIE COUNTY SOUTHEAST CORP V
Doing business as
Spectrum Human Services
Practice address
505 Delaware Ave
Buffalo, NY 14202-1309
Phone
(716) 662-2040
Fax
(716) 662-0019
NPI assigned
Aug 6, 2012
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Bruce C. NisbetNPI 1801185947
Title
President./Ceo
Phone
(716) 662-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

505 Delaware Ave
Buffalo, NY 14202-1309

Mailing address

Box 631
227 Thorn Avenue
Orchard Park, NY 14202
Phone (716) 662-2040

Other names 1

  • Spectrum Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Erie County South East Corp17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

227 Thorn Ave
Orchard Park, NY 14127
Phone (716) 539-6737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1376890798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 631",
            "address_2": "227 THORN AVENUE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-662-2040",
            "fax_number": "716-662-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021309",
            "telephone_number": "716-662-2040",
            "fax_number": "716-662-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE COUNTY SOUTHEAST CORP V",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "NISBET",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT./CEO",
        "authorized_official_telephone_number": "716-662-2040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.