NPIMap

Organization Active NPI

Citizen Advocates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malone, NY
National Provider Identifier
1730391012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
7533500 Issued in NY
Legal business name
CITIZEN ADVOCATES, INC
Practice address
209 Park Street
Malone, NY 12953
Phone
(518) 483-1251
Fax
(518) 483-2242
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gregory I Langdon
Title
Executive Director
Phone
(518) 483-1251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7533500 NY Primary

Addresses

Primary practice location

209 Park Street
Malone, NY 12953

Mailing address

PO Box 608
209 Park Street
Malone, NY 12953-0608
Phone (518) 483-1251

Other identifiers 1

IdentifierTypeStateIssuer
01155215MedicaidNY

Other names 1

  • ICM SCM Other name

National Provider Directory

National Provider Directory
Tax ID family
Citizen Advocates Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730391012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "address_2": "209 PARK STREET",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129530608",
            "telephone_number": "518-483-1251",
            "fax_number": "518-483-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK STREET",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "12953",
            "telephone_number": "518-483-1251",
            "fax_number": "518-483-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN ADVOCATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-483-1251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "7533500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICM SCM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.