NPIMap

Organization Active NPI

Onondaga County Comptrollers Office

  • Adolescent and Children Mental Health Clinic/Center
  • Syracuse, NY
National Provider Identifier
1699730408
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ONONDAGA COUNTY COMPTROLLERS OFFICE
Practice address
618 Madison St
Children and Family Services Outpatient Clinic
Syracuse, NY 13210
Phone
(315) 435-7707
Fax
(315) 435-7710
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Mr. Steven P Morgan
Title
Chief Fiscal Officer
Phone
(315) 435-3346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

618 Madison St
Children and Family Services Outpatient Clinic
Syracuse, NY 13210

Mailing address

421 Montgomery St
John H Mulroy Civic Center
Syracuse, NY 13202-2923
Phone (315) 435-2957

Other identifiers 1

IdentifierTypeStateIssuer
03004386MedicaidNY

Other names 1

  • Children & Family Services Outpatient Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000255 NY Part B Supplier - Clinic/Group Practice 1557263472 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Syracuse, NY

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6820 Thompson Rd
Bldg Children
Syracuse, NY 13211
Phone (315) 435-7706

6820 Thompson Rd
Syracuse, NY 13211
Phone (315) 431-8423

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1699730408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MONTGOMERY ST",
            "address_2": "JOHN H MULROY CIVIC CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022923",
            "telephone_number": "315-435-2957",
            "fax_number": "315-435-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MADISON ST",
            "address_2": "CHILDREN AND FAMILY SERVICES OUTPATIENT CLINIC",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-435-7707",
            "fax_number": "315-435-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONONDAGA COUNTY COMPTROLLERS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "315-435-3346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03004386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children & Family Services Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 2, 2016; 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.