Mha in Ulster County, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MHA IN ULSTER COUNTY, INC.

Practice address

221 Tuytenbridge Rd
Lake Katrine, NY 12449-5417

Phone

(845) 336-4747

Fax

(845) 336-0192

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ellen L Pendegar

Title

Ceo

Phone

(845) 336-4747

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1780882373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2304",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124022304",
            "telephone_number": "845-336-4747",
            "fax_number": "845-336-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 TUYTENBRIDGE RD",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495417",
            "telephone_number": "845-336-4747",
            "fax_number": "845-336-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHA IN ULSTER COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "PENDEGAR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-336-4747",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02711441",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01309966",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248324",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01405870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ashley Martiros, COTA/L
• Susan Mason, M.S., CCC-SLP
• Salvatore Peter Massa, PHD NCSP
• Christopher Edward May, RN
• Victor Arthur McGregor, NP, PH.D
• Mark Anthony Montera, MD
• Jael Marion, Marie Montgomery
• Elias Jeremiah Moor, AU.D.
• Richard Warren Moscowitz, MD
• Monique Lindsley Mowle, OTR-L

• Mental Illness Community Based Residential Treatment Facility in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.