NPIMap

Organization Active NPI

Schoharie County

Doing business as Schoharie County Mental Health Clinic

  • Clinical Social Worker
  • Schoharie, NY
National Provider Identifier
1508819079
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SCHOHARIE COUNTY
Doing business as
Schoharie County Mental Health Clinic
Practice address
113 Park PL
Schoharie, NY 12157-5211
Phone
(518) 295-8336
Fax
(518) 295-8724
NPI assigned
May 18, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Andrea Bohringer
Title
Quality Assurance Coordinator
Phone
(518) 295-8407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

113 Park PL
Schoharie, NY 12157-5211

Mailing address

284 Main St
Suite 320
Schoharie, NY 12157-2118
Phone (518) 295-8336

Other identifiers 1

IdentifierTypeStateIssuer
00555784MedicaidNY

Other names 1

  • Schoharie County Mental Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000353 NY Part B Supplier - Clinic/Group Practice 6507816741 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Schoharie, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Schoharie County

    dba Schoharie County Chemical Dependence Clinic

    • Addiction (Substance Use Disorder) Counselor
    • Schoharie, NY
    • NPI 1386739944

    O20050126000353

    Same enrollment

National Provider Directory

National Provider Directory

Locations

113 Park Pl
Schoharie, NY 12157
Phone (518) 295-2031

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1508819079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MAIN ST",
            "address_2": "SUITE 320",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "121572118",
            "telephone_number": "518-295-8336",
            "fax_number": "518-295-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PARK PL",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "121575211",
            "telephone_number": "518-295-8336",
            "fax_number": "518-295-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOHARIE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BOHRINGER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "QUALITY ASSURANCE COORDINATOR",
        "authorized_official_telephone_number": "518-295-8407"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00555784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schoharie County Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schoharie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.