Active NPI
Franklin Hamilton Chapter Nysarc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tupper Lake, NY
National Provider Identifier
1609920438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 6774445
- Legal business name
- FRANKLIN HAMILTON CHAPTER NYSARC
- Practice address
- 12 Mohawk St
Tupper Lake, NY 12986-1028 - Phone
- (518) 359-3351
- Fax
- (518) 359-7820
- NPI assigned
- Jan 22, 2007
- Last updated
- Jan 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sadie Spada
- Title
- Ceo
- Phone
- (518) 359-7518
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 6774445 | NY | Primary |
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
12 Mohawk St
Tupper Lake, NY 12986-1028
Mailing address
12 Mohawk St
Tupper Lake, NY 12986-1028
Phone (518) 359-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00921022 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
12 Mohawk St
Tupper Lake, NY 12986
Phone (518) 359-3351
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- School Psychologist
- Tupper Lake, NY
- NPI 1912211400
-
- Speech-Language Pathologist
- Tupper Lake, NY
- NPI 1609022821
-
- Occupational Therapy Assistant
- Tupper Lake, NY
- NPI 1134374242
-
- School Psychologist
- Tupper Lake, NY
- NPI 1790342962
-
- Specialist
- Tupper Lake, NY
- NPI 1265793178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452643200000",
"number": "1609920438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MOHAWK ST",
"city": "TUPPER LAKE",
"state": "NY",
"postal_code": "129861028",
"telephone_number": "518-359-3351",
"fax_number": "518-359-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 MOHAWK ST",
"city": "TUPPER LAKE",
"state": "NY",
"postal_code": "129861028",
"telephone_number": "518-359-3351",
"fax_number": "518-359-7820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANKLIN HAMILTON CHAPTER NYSARC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2016-01-13",
"status": "A",
"authorized_official_last_name": "SPADA",
"authorized_official_first_name": "SADIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "518-359-7518"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "6774445",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00921022",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupper Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.