Proaction of Steuben and Yates Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROACTION OF STEUBEN AND YATES INC

Practice address

117 E Steuben St
Bath, NY 14810-1636

Phone

(607) 776-2125

Fax

(607) 776-2723

NPI assigned

Apr 18, 2007

Last updated

Sep 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Pierson

Title

Medicaid Enrollment Manager

Phone

(607) 776-2125

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Proaction of Steuben and Yates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Proaction of Steuben and Yates, Inc.

  • Community/Behavioral Health Agency
  • Bath, NY
  • NPI 1639404064
  NPD tax ID

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1730305376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101636",
            "telephone_number": "607-776-2125",
            "fax_number": "607-776-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTION OF STEUBEN AND YATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MEDICAID ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "607-776-2125"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01054113",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve Povoski, LMSW
• Sarah Marie Pragle, MSPT
• Debora Sue Preston, RN
• Jessica Price, DNP, FNP-C
• Donna M Principio, LPN
• Proaction of Steuben and Yates, Inc.
• Cheryl Pruett II, PH.D.
• Arielle Marie Pygott, CPHT
• Rosemary Barbara Randall, RNFNP
• Randolph J Weaver (Village Pharmacy)

• Case Management Agency in Bath, NY
• Providers in Bath, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.