NPIMap

Organization Active NPI

Catholic Charities Community Services of Orange County

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, NY
National Provider Identifier
1609025998
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
090111577 Issued in NY
Legal business name
CATHOLIC CHARITIES COMMUNITY SERVICES OF ORANGE COUNTY
Practice address
520 State Route 17M
Monroe, NY 10950-3455
Phone
(845) 782-0295
Fax
(845) 782-5164
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dean Scher, PH.D, L.C.S.W.
Title
Executive Director
Phone
(845) 294-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 090111577 NY Primary

Addresses

Primary practice location

520 State Route 17M
Monroe, NY 10950-3455

Mailing address

224 Main St
2ND Floor
Goshen, NY 10924-2157
Phone (845) 294-5124

Other identifiers 1

IdentifierTypeStateIssuer
02739311MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of Orange Sullivan Ulster7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

520 State Route 17M
Monroe, NY 10950
Phone (845) 782-0295

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1609025998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242157",
            "telephone_number": "845-294-5124",
            "fax_number": "845-294-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503455",
            "telephone_number": "845-782-0295",
            "fax_number": "845-782-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES COMMUNITY SERVICES OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-294-5124",
        "authorized_official_credential": "PH.D, L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "090111577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02739311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.