Organization Active NPI

Onondaga Case Management Services Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Syracuse, NY
National Provider Identifier
1841940285
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ONONDAGA CASE MANAGEMENT SERVICES INC.
Practice address
620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463
Phone
(315) 472-7363
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Ann Gulliver
Title
Revenue Cycle Manager
Phone
(315) 472-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463

Mailing address

620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463
Phone (315) 472-7363

Other names 1

  • Circare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onondaga Case Management Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1841940285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042463",
            "telephone_number": "315-472-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042463",
            "telephone_number": "315-472-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONONDAGA CASE MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "GULLIVER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "315-472-7363"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.