Active NPI
Harmonia Collaborative Care Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Derby, NY
National Provider Identifier
1497828461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HARMONIA COLLABORATIVE CARE INC
- Practice address
- 6722 Erie Rd
Derby, NY 14047 - Phone
- (716) 947-5025
- Fax
- (716) 947-5909
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique Y Hebert-Bublyk
- Title
- Credentialing Specialist
- Phone
- (716) 947-5025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NY | Primary |
Addresses
Primary practice location
6722 Erie Rd
Derby, NY 14047
Mailing address
6722 Erie Rd
Derby, NY 14047
Phone (716) 947-5025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00671807 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040413001589 | NY | Part B Supplier - Clinic/Group Practice | 8628062460 |
Receives reassigned benefits from 11 practitioners Practice locations: Hamburg, NY; West Seneca, NY; Tonawanda, NY; Silver Creek, NY; North Tonawanda, NY; Newfane, NY; Lake View, NY; Derby, NY… |
National Provider Directory
National Provider DirectoryLocations
959 Beach Rd
Rm 218
Angola, NY 14006
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Silver Creek, NY
- NPI 1528653052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567728000000",
"number": "1497828461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6722 ERIE RD",
"city": "DERBY",
"state": "NY",
"postal_code": "14047",
"telephone_number": "716-947-5025",
"fax_number": "716-947-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6722 ERIE RD",
"city": "DERBY",
"state": "NY",
"postal_code": "14047",
"telephone_number": "716-947-5025",
"fax_number": "716-947-5909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARMONIA COLLABORATIVE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2019-09-06",
"status": "A",
"authorized_official_last_name": "HEBERT-BUBLYK",
"authorized_official_first_name": "MONIQUE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "716-947-5025"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00671807",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Derby, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.