NPIMap

Organization Active NPI

Human Technologies

Doing business as Mental Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rome, NY
National Provider Identifier
1417065426
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6276110A Issued in NY
Legal business name
HUMAN TECHNOLOGIES
Doing business as
Mental Health Connections
Practice address
1002 Black River Blvd
Rome, NY 13440
Phone
(315) 337-0773
Fax
(315) 337-2158
NPI assigned
Aug 29, 2006
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Timothy J Garrusso
Title
President Ceo
Phone
(315) 735-9501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6276110B NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6276110A NY Primary

Addresses

Primary practice location

1002 Black River Blvd
Rome, NY 13440

Mailing address

2260 Dwyer Ave
Utica, NY 13501
Phone (315) 724-9891

Other identifiers 2

IdentifierTypeStateIssuer
01158465MedicaidNY
01558465MedicaidNY

Other names 1

  • Mental Health Connections Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gambling Information and Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

266 W Dominick St
Rome, NY 13440
Phone (315) 337-0773

252 W Dominick St
Rome, NY 13440
Phone (315) 337-0773

2260 Dwyer Ave
Utica, NY 13501
Phone (315) 724-9891

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1417065426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 DWYER AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-724-9891",
            "fax_number": "315-724-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BLACK RIVER BLVD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-0773",
            "fax_number": "315-337-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "GARRUSSO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "315-735-9501"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6276110B",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6276110A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01158465",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01558465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.