NPIMap

Organization Active NPI

Putnam Family and Community Services Inc

Doing business as CoveCare Center

  • Mental Health Counselor
  • Carmel, NY
National Provider Identifier
1497737167
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9041100A Issued in NY
Legal business name
PUTNAM FAMILY AND COMMUNITY SERVICES INC
Doing business as
CoveCare Center
Practice address
1808 Route 6
Carmel, NY 10512
Phone
(845) 225-2700
Fax
(845) 225-3207
NPI assigned
Nov 17, 2005
Last updated
Oct 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Authorized official

Name
Diane E Russo
Title
Chief Executive Officer/ Director
Phone
(845) 225-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 9041100A NY Primary

Addresses

Primary practice location

1808 Route 6
Carmel, NY 10512

Mailing address

1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700

Other names 1

  • CoveCare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001060 NY Part B Supplier - Clinic/Group Practice 3072402429 Receives reassigned benefits from 25 practitioners
Practice locations: Brewster, NY; Carmel, NY; Garrison, NY; Patterson, NY

National Provider Directory

National Provider Directory
Tax ID family
Covecare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700

1816 Route 6
Carmel, NY 10512
Phone (845) 225-2700

21 Franciscan Way
Garrison, NY 10524
Phone (845) 225-2700

2050 Rte 22
Patterson, NY 12563
Phone (845) 225-2700

Practitioners & affiliated clinicians

Practitioners 156

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.

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1497737167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "10512",
            "telephone_number": "845-225-2700",
            "fax_number": "845-225-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "10512",
            "telephone_number": "845-225-2700",
            "fax_number": "845-225-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM FAMILY AND COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/ DIRECTOR",
        "authorized_official_telephone_number": "845-225-2700"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "9041100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoveCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.