NPIMap

Organization Active NPI

Ontario County Substance Abuse Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canandaigua, NY
National Provider Identifier
1831284819
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
061110915 Issued in NY
Legal business name
ONTARIO COUNTY SUBSTANCE ABUSE SERVICES
Practice address
3019 County Complex Drive
Canandaigua, NY 14424-9884
Phone
(585) 396-4190
Fax
(585) 393-2916
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ms. June Elizabeth Fisher, LMSW, CASAC
Title
Director
Phone
(585) 396-4190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 061110915 NY Primary

Addresses

Primary practice location

3019 County Complex Drive
Canandaigua, NY 14424-9884

Mailing address

3019 County Complex Drive
Canandaigua, NY 14424-9884
Phone (585) 396-4190

Other identifiers 1

IdentifierTypeStateIssuer
166002535MedicaidNY

Other names 1

  • Turnings Other name

National Provider Directory

National Provider Directory
Tax ID family
Ontario County LT Home Health Agency9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1831284819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 COUNTY COMPLEX DRIVE",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249884",
            "telephone_number": "585-396-4190",
            "fax_number": "585-393-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 COUNTY COMPLEX DRIVE",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249884",
            "telephone_number": "585-396-4190",
            "fax_number": "585-393-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO COUNTY SUBSTANCE ABUSE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-396-4190",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, CASAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "061110915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166002535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turnings",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.