NPIMap

Organization Active NPI

Onondaga County Comptrollers Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
National Provider Identifier
1487727160
Registry record updated Dec 2, 2016
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 COMPTROLLERS OFFICE
Practice address
4641 Kasson Rd
Children and Family Services Day Treatment Program Sate
Syracuse, NY 13215-8615
Phone
(315) 435-7706
Fax
(315) 435-7715
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Mr. Steven P Morgan
Title
Chief Fiscal Officer
Phone
(315) 435-3346

Specialties & licenses 1

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

Addresses

Primary practice location

4641 Kasson Rd
Children and Family Services Day Treatment Program Sate
Syracuse, NY 13215-8615

Mailing address

421 Montgomery St
John H Mulroy Civic Center
Syracuse, NY 13202-2923
Phone (315) 435-2957

Other identifiers 1

IdentifierTypeStateIssuer
03004377MedicaidNY

Other names 1

  • Children and Family Services Day Treatment Program Satellite Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000255 NY Part B Supplier - Clinic/Group Practice 1557263472 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Syracuse, NY

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Van Duyn Medical SVC9 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.

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": "1480636800000",
    "number": "1487727160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MONTGOMERY ST",
            "address_2": "JOHN H MULROY CIVIC CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022923",
            "telephone_number": "315-435-2957",
            "fax_number": "315-435-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 KASSON RD",
            "address_2": "CHILDREN AND FAMILY SERVICES DAY TREATMENT PROGRAM SATE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132158615",
            "telephone_number": "315-435-7706",
            "fax_number": "315-435-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONONDAGA COUNTY COMPTROLLERS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "315-435-3346",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "03004377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children and Family Services Day Treatment Program Satellite",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.