Active NPI
Judith F Rozsa MSW CSW Cac PC
- Substance Use Disorder Rehabilitation Clinic/Center
- Syracuse, NY
National Provider Identifier
1679648760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- JUDITH F ROZSA MSW CSW CAC PC
- Practice address
- 770 James Street
Suite 215
Syracuse, NY 13203 - Phone
- (315) 422-0571
- Fax
- (315) 422-2734
- NPI assigned
- Nov 22, 2006
- 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
- Ms. Judi F Rozsa, LCSW ACSW CASAC
- Title
- Director
- Phone
- (315) 422-0571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NY | Primary |
Addresses
Primary practice location
770 James Street
Suite 215
Syracuse, NY 13203
Mailing address
770 James Street
Suite 215
Syracuse, NY 13203
Phone (315) 422-0571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01706147 | Medicaid | NY |
Other names 1
- Clinical Counseling Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
770 James St
Ste 215
Syracuse, NY 13203
Phone (315) 422-0671
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1144362633
-
- Addiction (Substance Use Disorder) Counselor
- Syracuse, NY
- NPI 1952550592
-
- Addiction (Substance Use Disorder) Counselor
- Syracuse, NY
- NPI 1689816381
-
- Psychologist
- Syracuse, NY
- NPI 1518024595
-
- Clinical Social Worker
- Clay, NY
- NPI 1861440588
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1255492732
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1881857449
-
- Mental Health Counselor
- Syracuse, NY
- NPI 1649473604
-
- Physical Therapist
- Fayetteville, NY
- NPI 1821187790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679648760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 JAMES STREET",
"address_2": "SUITE 215",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13203",
"telephone_number": "315-422-0571",
"fax_number": "315-422-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 JAMES STREET",
"address_2": "SUITE 215",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13203",
"telephone_number": "315-422-0571",
"fax_number": "315-422-2734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH F ROZSA MSW CSW CAC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROZSA",
"authorized_official_first_name": "JUDI",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "315-422-0571",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW ACSW CASAC"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01706147",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinical Counseling Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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 22, 2020; 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.