Otsego County Chapter, Nysarc, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

6293301 Issued in NY

Legal business name

OTSEGO COUNTY CHAPTER, NYSARC, INC.

Practice address

63 Lower River St
Oneonta, NY 13820-3300

Phone

(607) 433-8460

Fax

(607) 433-8464

NPI assigned

Mar 21, 2007

Organization subpart

Yes

Parent organization

NYSARC, INC.As reported in NPPES

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

Authorized official

Name

Mr. Joe S. Judd

Title

Executive Director

Phone

(607) 433-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Otsego County Chapter Nysarc Inc2 organizations share this tax ID, including this one

Part of

Putnam County Chapter Nys

Other organizations with this tax ID 1

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

• Otsego County Chapter, Nysarc, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Oneonta, NY
  • NPI 1437320694
  NPD tax ID

Locations

Practitioners 1

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

• Caley Sharratt, OTR/L

  • Occupational Therapist
  • Oneonta, NY
  • NPI 1528413895
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1710002167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "address_2": "35 ACADEMY STREET",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138200490",
            "telephone_number": "607-433-8409",
            "fax_number": "607-433-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LOWER RIVER ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203300",
            "telephone_number": "607-433-8460",
            "fax_number": "607-433-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO COUNTY CHAPTER, NYSARC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYSARC, INC.",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-433-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "6293301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oneonta Optical LLC
• Opportunities for Otsego, Inc
• Ornc LLC
• Ornh, Inc.
• Otsego County Chapter, Nysarc, Inc.
• Otsego County Chemical Dependency Clinic
• Otsego County Chemical Dependency Clinic
• Otsego County Mental Health
• Otsego Dental Care PLLC
• Otsego Magnetic Resonance Imaging Center

• Developmentally Disabled Services Day Training Agency in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.