NPIMap

Organization Active NPI

Montgomery County Arc

  • Early Intervention Provider Agency
  • Amsterdam, NY
National Provider Identifier
1699015842
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MONTGOMERY COUNTY ARC
Doing business as
Liberty
Practice address
43 Liberty Dr
Amsterdam, NY 12010-5635
Phone
(518) 954-3291
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Tracy Mead
Title
Billing Supervisor
Phone
(518) 954-3291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NY
Early Intervention Provider Agency 252Y00000X NY Primary

Addresses

Primary practice location

43 Liberty Dr
Amsterdam, NY 12010-5635

Mailing address

43 Liberty Dr
Amsterdam, NY 12010-5635
Phone (518) 954-3291

Other names 1

  • Liberty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Liberty5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1699015842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LIBERTY DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120105635",
            "telephone_number": "518-954-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LIBERTY DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120105635",
            "telephone_number": "518-954-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "518-954-3291"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.