Organization Active NPI

Humanitarian Organization for Multicultural Experiences, Inc.

  • Intellectual & Developmental Disabilities Psychologist
  • Syracuse, NY
National Provider Identifier
1467004333
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
HUMANITARIAN ORGANIZATION FOR MULTICULTURAL EXPERIENCES, INC.
Practice address
831 James Street
Syracuse, NY 13203
Phone
(315) 472-5110
Fax
(315) 472-5536
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Mrs. Jerusha Thomas
Title
Senior Administrator
Phone
(315) 472-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

831 James Street
Syracuse, NY 13203

Mailing address

831 James Street
Syracuse, NY 13203
Phone (315) 472-5110

Other identifiers 1

IdentifierTypeStateIssuer
02704332MedicaidNY

National Provider Directory

National Provider Directory

Locations

831 James St
Syracuse, NY 13203
Phone (315) 472-5110

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1467004333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 JAMES STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-472-5110",
            "fax_number": "315-472-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 JAMES STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-472-5110",
            "fax_number": "315-472-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITARIAN ORGANIZATION FOR MULTICULTURAL EXPERIENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JERUSHA",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR",
        "authorized_official_telephone_number": "315-472-5110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02704332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.