Individual provider Active NPI

Jesse R. Belton

  • Social Worker
  • Cortland, NY
National Provider Identifier
1730737636
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7 Clayton Ave
Cortland, NY 13045-2501
Phone
(607) 758-6100
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

7 Clayton Ave
Cortland, NY 13045-2501

Mailing address

5164 State Route 41
Homer, NY 13077-9310
Phone (607) 423-6102

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.cortland-co.org/452/Mental-Health-Clinic
CONNECT URL www.cortland-co.org/452/Mental-Health-Clinic
CONNECT URL www.cortland-co.org/452/Mental-Health-Clinic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1730737636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 STATE ROUTE 41",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130779310",
            "telephone_number": "607-423-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CLAYTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452501",
            "telephone_number": "607-758-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTON",
        "first_name": "JESSE",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cortland-co.org/452/Mental-Health-Clinic",
            "affiliation": "N",
            "address_1": "7 Clayton Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130452501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cortland-co.org/452/Mental-Health-Clinic",
            "affiliation": "N",
            "address_1": "7 Clayton Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130452501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cortland-co.org/452/Mental-Health-Clinic",
            "affiliation": "N",
            "address_1": "7 Clayton Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130452501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.