Proaction of Steuben and Yates, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NO TAXONOMY CODE Issued in NY

Legal business name

PROACTION OF STEUBEN AND YATES, INC.

Practice address

117 E Steuben St
Bath, NY 14810-1636

Phone

(607) 776-1151

Fax

(607) 776-2803

NPI assigned

Oct 2, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Cogswell, CDN

Title

Wic Program Director

Phone

(607) 776-1151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WIC Program Other name

Tax ID family

Proaction of Steuben and Yates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Proaction of Steuben and Yates Inc

  • Case Management Agency
  • Bath, NY
  • NPI 1730305376
  NPD tax ID

Locations

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1639404064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101636",
            "telephone_number": "607-776-1151",
            "fax_number": "607-776-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101636",
            "telephone_number": "607-776-1151",
            "fax_number": "607-776-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTION OF STEUBEN AND YATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "COGSWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "WIC PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "607-776-1151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "NO TAXONOMY CODE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01168258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WIC Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Marie Pragle, MSPT
• Debora Sue Preston, RN
• Jessica Price, DNP, FNP-C
• Donna M Principio, LPN
• Proaction of Steuben and Yates Inc
• Cheryl Pruett II, PH.D.
• Arielle Marie Pygott, CPHT
• Rosemary Barbara Randall, RNFNP
• Randolph J Weaver
• John H Rapacke, PHARM-D

• Community/Behavioral Health Agency in Bath, NY
• Providers in Bath, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.