NPIMap

Organization Active NPI

Child and Adolescent Treatment Services Inc

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1518019348
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHILD AND ADOLESCENT TREATMENT SERVICES INC
Practice address
1487 Main Street
Buffalo, NY 14209
Phone
(716) 881-2405
Fax
(716) 881-2425
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Mrs. Bonnie L Glazer, LCSW ACSW
Title
Executive Director
Phone
(716) 819-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1487 Main Street
Buffalo, NY 14209

Mailing address

301 Cayuga
Suite 200
Cheektowaga, NY 14225-1950
Phone (716) 819-3420

Other identifiers 1

IdentifierTypeStateIssuer
00357855MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Child and Adolescent Treatment Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1487 Main St
Buffalo, NY 14209
Phone (716) 881-2405

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1518019348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CAYUGA",
            "address_2": "SUITE 200",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251950",
            "telephone_number": "716-819-3420",
            "fax_number": "716-819-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 MAIN STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14209",
            "telephone_number": "716-881-2405",
            "fax_number": "716-881-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT TREATMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "GLAZER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-819-3420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW ACSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.