Captain Community Human Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAPTAIN COMMUNITY HUMAN SERVICES, INC.

Doing business as

CHS

Practice address

543 Saratoga Rd
Glenville, NY 12302-5711

Phone

(518) 399-4624

Fax

(518) 399-8663

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Andrew John Gilpin

Title

Associate Executive Director

Phone

(518) 371-1185

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHS Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Erika Straight

  • Peer Specialist
  • Glenville, NY
  • NPI 1619428349
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1689039612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 SARATOGA RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025711",
            "telephone_number": "518-399-4624",
            "fax_number": "518-399-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 SARATOGA RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025711",
            "telephone_number": "518-399-4624",
            "fax_number": "518-399-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTAIN COMMUNITY HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "GILPIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-371-1185"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04724021",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andy@captaincares.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "543 Saratoga Rd",
            "city": "Glenville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123025711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Brownell
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• Kimberly Anne Carr, MS, CCC-SLP
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• Community/Behavioral Health Agency in Glenville, NY
• Providers in Glenville, 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 Feb 12, 2020; 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.