NPIMap

Organization Active NPI

Berkshire Farm Center &Services for Youth

  • Community/Behavioral Health Agency
  • Rochester, NY
National Provider Identifier
1730336124
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
051010545 Issued in NY
Legal business name
BERKSHIRE FARM CENTER &SERVICES FOR YOUTH
Practice address
1059 Sibley Tower BLDG
Rochester, NY 14604
Phone
(585) 454-1620
Fax
(585) 454-6814
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Timothy Giacchetta
Title
Ceo
Phone
(518) 781-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 051010545 NY Primary

Addresses

Primary practice location

1059 Sibley Tower BLDG
Rochester, NY 14604

Mailing address

13640 State Route 22
Canaan, NY 12029
Phone (518) 781-4567

Other identifiers 1

IdentifierTypeStateIssuer
02513115MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Farm Center Services for Youth8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1730336124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 STATE ROUTE 22",
            "city": "CANAAN",
            "state": "NY",
            "postal_code": "12029",
            "telephone_number": "518-781-4567",
            "fax_number": "518-781-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 SIBLEY TOWER BLDG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14604",
            "telephone_number": "585-454-1620",
            "fax_number": "585-454-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE FARM CENTER &SERVICES FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "GIACCHETTA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-781-4567"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "051010545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513115",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.