Elmcrest Childrens Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

ELMCREST CHILDRENS CENTER

Practice address

960 Salt Springs Rd
Syracuse, NY 13224-1639

Phone

(315) 446-6250

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John E Henley

Title

Executive Director

Phone

(315) 446-6250

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Casey'S Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Elmcrest Childrens Center

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Syracuse, NY
  • NPI 1568595338
  NPD tax ID

Locations

Practitioners 1

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

• Stacia Schioppa, LCSW

  • Clinical Social Worker
  • Liverpool, NY
  • NPI 1649659129
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417080292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-446-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-446-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMCREST CHILDRENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-446-6250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00343311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ellis
• Markia Ellis
• Sarah A Ellithorpe, PT
• Brian Ellsworth
• Ruba Elmaoued, MD
• Elmcrest Childrens Center
• Robert Elmer
• Hassan Elnour, M.D.
• Sara Mamoun Eltahir Elnour, MBBS
• Mohamed Elrefaey, MBBCH

• Emotionally Disturbed Childrens' Residential Treatment Facility in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.