Seneca County Health Department

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1239L001 Issued in NY

Legal business name

SENECA COUNTY HEALTH DEPARTMENT

Practice address

2465 Bonadent Dr. Suite 3
Waterloo, NY 13165

Phone

(315) 539-1920

Fax

(315) 539-9493

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott King

Title

Director of Public Health

Phone

(315) 539-1920

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Practitioners 5

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

• Chersti Kate Kuhlmann

  • Local Education Agency (LEA)
  • Waterloo, NY
  • NPI 1851047203
  NPD (past)
• Christina M Redding, LPN

  • Early Intervention Provider Agency
  • Waterloo, NY
  • NPI 1053190777
  NPD (past)
• Crystal Tomkins

  • Early Intervention Provider Agency
  • Waterloo, NY
  • NPI 1538907514
  NPD (past)
• Austin Williams

  • Local Education Agency (LEA)
  • Waterloo, NY
  • NPI 1194471540
  NPD (past)
• Tiffany Williams

  • Local Education Agency (LEA)
  • Waterloo, NY
  • NPI 1831666932
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1497852875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 BONADENT DR. SUITE 3",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "13165",
            "telephone_number": "315-539-1920",
            "fax_number": "315-539-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 BONADENT DR. SUITE 3",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "13165",
            "telephone_number": "315-539-1920",
            "fax_number": "315-539-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "315-539-1920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "1239L001",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "1239L001",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1239L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355399",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul W Ryan, DC
• S R Ahmad, Inc.
• Mary Ann Schwittek, RN
• Seneca Cayuga Counties Chapter Nysarc, Inc.
• Seneca County Addictions Program
• Seneca County Health Department
• Seneca County Health Department
• Seneca County Public Health Department
• Seneca County Treasurer
• Seneca Nursing & Rehab Center

• Early Intervention Provider Agency in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.