NPIMap

Organization Active NPI

Madison County Mental Health Department-Cedar House

  • Clinic/Center
  • Oneida, NY
National Provider Identifier
1477667137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6873300A Issued in NY
Legal business name
MADISON COUNTY MENTAL HEALTH DEPARTMENT-CEDAR HOUSE
Practice address
201 Cedar St
Oneida, NY 13421-2111
Phone
(315) 361-8413
Fax
(315) 361-8450
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tom Kleinklaus, LMSW
Title
Program Director
Phone
(315) 361-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6873300A NY Primary

Addresses

Primary practice location

201 Cedar St
Oneida, NY 13421-2111

Mailing address

201 Cedar St
Oneida, NY 13421-2111
Phone (315) 361-8413

Other identifiers 1

IdentifierTypeStateIssuer
00569860MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Madison County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

201 Cedar St
Oneida, NY 13421
Phone (315) 280-0400

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477667137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212111",
            "telephone_number": "315-361-8413",
            "fax_number": "315-361-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212111",
            "telephone_number": "315-361-8413",
            "fax_number": "315-361-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY MENTAL HEALTH DEPARTMENT-CEDAR HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEINKLAUS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "315-361-8413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "6873300A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00569860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.