NPIMap

Organization Active NPI

Harmonia Collaborative Care Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Derby, NY
National Provider Identifier
1497828461
Registry record updated Sep 6, 2019
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
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
Last updated
Sep 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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)CodeLicenseStatePrimary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

959 Beach Rd
Rm 218
Angola, NY 14006

1 Dickinson St
Rm 128K
Silver Creek, NY 14136
Phone (716) 363-3550

Practitioners & affiliated clinicians

Practitioners 12

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": "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": [],
    "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.

Verify at the official NPI Registry.