Organization Active NPI

McMahon Ryan Child Advocacy Site, Inc.

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1528759917
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MCMAHON RYAN CHILD ADVOCACY SITE, INC.
Practice address
601 E Genesee St
Syracuse, NY 13202-3117
Phone
(315) 701-2985
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Colleen Merced
Title
Executive Director
Phone
(315) 701-2985

Specialties & licenses 1

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

Addresses

Primary practice location

601 E Genesee St
Syracuse, NY 13202-3117

Mailing address

601 E Genesee St
Syracuse, NY 13202-3117
Phone (315) 701-2985

Other names 1

  • McMahon Ryan Child Advocacy Center Other name

National Provider Directory

National Provider Directory

Locations

601 E Genesee St
Syracuse, NY 13202
Phone (315) 701-2985

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1528759917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023117",
            "telephone_number": "315-701-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023117",
            "telephone_number": "315-701-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHON RYAN CHILD ADVOCACY SITE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "MERCED",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-701-2985"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMahon Ryan Child Advocacy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.