Community League, Wassaic Chapter, Nysarc, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY LEAGUE, WASSAIC CHAPTER, NYSARC, INC.

Practice address

1 South St.
Beacon, NY 12508-2819

Phone

(845) 838-0515

Fax

(845) 831-2034

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rose Mary Cella

Title

Board President

Phone

(845) 838-0515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1588864656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTH ST.",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082819",
            "telephone_number": "845-838-0515",
            "fax_number": "845-831-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH ST.",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082819",
            "telephone_number": "845-838-0515",
            "fax_number": "845-831-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LEAGUE, WASSAIC CHAPTER, NYSARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "CELLA",
        "authorized_official_first_name": "ROSE MARY",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "845-838-0515"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01997722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah B. Chung, M.D.
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• Darcy M. Clayton, MSED., CCC-SLP
• Sarah Rebecca Cohen
• Romulo Reyes Constantino, PT
• Camille Marie Cortina, LCSW
• CRC 11 11 Acupunture, PLLC
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• Lindsey Nicole Crill, MS, OTR/L

• Case Management Agency in Beacon, NY
• Providers in Beacon, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.