NPIMap

Organization Active NPI

Onondaga County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
National Provider Identifier
1477626158
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH
Practice address
530 Cedar St
Day Treatment Program - Soule Road School
Syracuse, NY 13210-2302
Phone
(315) 435-7706
Fax
(315) 435-7715
NPI assigned
Nov 17, 2006
Last updated
Sep 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Robert C Long
Title
Commissioner of Ocdmh
Phone
(315) 435-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

530 Cedar St
Day Treatment Program - Soule Road School
Syracuse, NY 13210-2302

Mailing address

421 Montgomery St
Civic Center 10TH FLR
Syracuse, NY 13202-2923
Phone (315) 435-3355

Other identifiers 1

IdentifierTypeStateIssuer
00565031MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Onondaga County Medical Examiner's Office9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1477626158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MONTGOMERY ST",
            "address_2": "CIVIC CENTER 10TH FLR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022923",
            "telephone_number": "315-435-3355",
            "fax_number": "315-435-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CEDAR ST",
            "address_2": "DAY TREATMENT PROGRAM - SOULE ROAD SCHOOL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102302",
            "telephone_number": "315-435-7706",
            "fax_number": "315-435-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COMMISSIONER OF OCDMH",
        "authorized_official_telephone_number": "315-435-3355"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00565031",
            "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 Sep 12, 2012; 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.