NPIMap

Organization Active NPI

Cayuga County

  • Multi-Specialty Clinic/Center
  • Auburn, NY
National Provider Identifier
1699708123
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7240100A Issued in NY
Legal business name
CAYUGA COUNTY
Practice address
146 North St
Auburn, NY 13021-1831
Phone
(315) 253-0341
Fax
(315) 253-1687
NPI assigned
Jul 8, 2006
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mr. Raymond Bizzari
Title
Executive Director to the CSB
Phone
(315) 253-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7240100A NY Primary

Addresses

Primary practice location

146 North St
Auburn, NY 13021-1831

Mailing address

146 North St
Auburn, NY 13021-1831
Phone (315) 253-0341

Other identifiers 1

IdentifierTypeStateIssuer
00357268MedicaidNY

Other names 1

  • Cayuga County Community Mental Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000465 NY Part B Supplier - Clinic/Group Practice 6204747157 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
Practice locations: Auburn, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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 Directory
Tax ID family
Cayuga County Lthhcp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

146 North St
Auburn, NY 13021
Phone (315) 253-0341

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1699708123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211831",
            "telephone_number": "315-253-0341",
            "fax_number": "315-253-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211831",
            "telephone_number": "315-253-0341",
            "fax_number": "315-253-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "BIZZARI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR TO THE CSB",
        "authorized_official_telephone_number": "315-253-0341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7240100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357268",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cayuga County Community Mental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.