Sullivan County Boces

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

01479767 Issued in NY

Legal business name

SULLIVAN COUNTY BOCES

Practice address

6 Wierk Ave
Liberty, NY 12754-2117

Phone

(845) 295-4143

Fax

(845) 295-0513

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Keith Menges

Title

Treasurer

Phone

(845) 295-4014

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1760648141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WIERK AVE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542117",
            "telephone_number": "845-295-4143",
            "fax_number": "845-295-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WIERK AVE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542117",
            "telephone_number": "845-295-4143",
            "fax_number": "845-295-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY BOCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "MENGES",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "845-295-4014",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "01479767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01479767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsie Marie Stauch
• Melissa Stickle, LCSW R
• Kelsey Stoddard, LMSW
• Fiona Streimer
• Success Abound ABA
• Sullivan County Physical Therapy,PC
• Sullivan County Public Health Services
• Sullivan County Public Health Services
• Sullivan County Public Health Services
• Sullivan Pharmacy Inc

• Case Management Agency in Liberty, NY
• Providers in Liberty, 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 Aug 5, 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.