Claxton-Hepburn Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

CLAXTON-HEPBURN MEDICAL CENTER

Doing business as

Claxton Hepburn Medical Center Children's Unit

Practice address

214 King St
Ogdensburg, NY 13669-1142

Phone

(315) 713-5354

NPI assigned

Feb 18, 2021

Last updated

Mar 16, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CLAXTON-HEPBURN MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Carrie Beth Bova

Title

Revenue Cycle Director

Phone

(315) 713-5354

Specialties & licenses 3

Addresses

Other names 1

• Claxton Hepburn Medical Center Children's Unit Doing business as

Part of

Claxton Hepburn Medical Center

Practitioners 2

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.

• Leah Thompson, FPMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Ogdensburg, NY
  • NPI 1760094478
  NPD (past)
• Sanjoy Banik, M.D.

  • Psychiatry Physician
  • Las Cruces, NM
  • NPI 1760547970

  Child & Adolescent Psychiatry

  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1447843636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-713-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-713-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON-HEPBURN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAXTON-HEPBURN MEDICAL CENTER",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "BOVA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "315-713-5354"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton Hepburn Medical Center Children's Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Claxton Hepburn Medical Center Children's Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claxton Medical PC
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center (Dr. Ravinder Agarwal Renal Center)
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center (Practice Resources LLC)
• Janet M Cline
• Karen J Cole, RN

• Psychiatric Hospital Unit in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Psychiatric Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.