Organization Active NPI

Nurturing Life Concepts

  • Community/Behavioral Health Agency
  • Manlius, NY
National Provider Identifier
1376975979
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
076350-1 Issued in NY
Legal business name
NURTURING LIFE CONCEPTS
Practice address
8195 Cazenovia Rd
Suite 9
Manlius, NY 13104-9631
Phone
(315) 682-4005
Fax
(315) 682-4254
NPI assigned
Aug 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Mrs. Wendy A West Pidkaminy, LCSW-RNPI 1215259379
Title
Executive Officer
Phone
(315) 682-4005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 076350-1 NY Primary

Addresses

Primary practice location

8195 Cazenovia Rd
Suite 9
Manlius, NY 13104-9631

Mailing address

8195 Cazenovia Rd
Suite 9
Manlius, NY 13104-9631
Phone (315) 682-4005

National Provider Directory

National Provider Directory

Locations

8195 Cazenovia Rd
Ste 9
Manlius, NY 13104
Phone (315) 682-4005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1376975979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 CAZENOVIA RD",
            "address_2": "SUITE 9",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049631",
            "telephone_number": "315-682-4005",
            "fax_number": "315-682-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 CAZENOVIA RD",
            "address_2": "SUITE 9",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049631",
            "telephone_number": "315-682-4005",
            "fax_number": "315-682-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING LIFE CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "WEST PIDKAMINY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "315-682-4005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "076350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manlius, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.