NPIMap

Organization Active NPI

Syracuse Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Syracuse, NY
National Provider Identifier
1609931765
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SYRACUSE RECOVERY SERVICES
Practice address
319 E Water St
Syracuse, NY 13202-1123
Phone
(315) 475-1771
Fax
(315) 475-4601
NPI assigned
Dec 27, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Mrs. Megan Stiles, CASACNPI 1437695673
Title
Director
Phone
(315) 475-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X NY Primary

Addresses

Primary practice location

319 E Water St
Syracuse, NY 13202-1123

Mailing address

319 E Water St
Syracuse, NY 13202-1123
Phone (315) 475-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180504000073 NY Part B Supplier - Clinic/Group Practice 1658635321 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, NY; Cortland, NY; Syracuse, NY

National Provider Directory

National Provider Directory

Locations

180 Genesee St
Auburn, NY 13021
Phone (315) 282-5351

6 Euclid Ave
Ste 5
Cortland, NY 13045
Phone (607) 756-4167

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1609931765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021123",
            "telephone_number": "315-475-1771",
            "fax_number": "315-475-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021123",
            "telephone_number": "315-475-1771",
            "fax_number": "315-475-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-475-1771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.