State of New York Comptrollers Office

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

00279700 Issued in NY

Legal business name

STATE OF NEW YORK COMPTROLLERS OFFICE

Practice address

1669 Eden Evans Center Rd
Angola, NY 14006-9728

Phone

(716) 549-3530

NPI assigned

Jun 26, 2009

Organization subpart

Yes

Parent organization

STATE OF NEW YORK COMPTROLLERS OFFICEAs reported in NPPES

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

Authorized official

Name

Earl Jefferson

Title

Director of Central Operations

Phone

(518) 402-4333

Specialties & licenses 1

Addresses

Other names 1

• Western NY DDSO JN Adams Other name

Part of

Daniel a Spengler

Locations

Practitioners 1

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

• Caitlyn Pawlikowski, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Angola, NY
  • NPI 1487095642
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1497983670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122290001",
            "telephone_number": "518-402-4333",
            "fax_number": "518-473-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 EDEN EVANS CENTER RD",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069728",
            "telephone_number": "716-549-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "enumeration_date": "2009-06-26",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR OF CENTRAL OPERATIONS",
        "authorized_official_telephone_number": "518-402-4333"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "00279700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western NY DDSO JN Adams",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheila M Saxton
• Melissa Nicole Scarangella, PHARMD
• Nicole Schukraft
• Christie Sreniawski
• Patricia Susan Start, RN
• Jennifer Ann Steiger, PT
• Diane Mary Tighe, O.T.R.
• Village of Angola
• Caitlin Violanti, LMHC
• Walgreen Co

• All providers in Angola, NY
• Developmental Disabilities Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.