NPIMap

Organization Active NPI

Upstatecerebral Palsy, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Barneveld, NY
National Provider Identifier
1881860633
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
6282300 Issued in NY
Legal business name
UPSTATECEREBRAL PALSY, INC.
Practice address
10708 N Gage Rd
Barneveld, NY 13304-2527
Phone
(315) 896-2654
Fax
(315) 896-2864
NPI assigned
May 1, 2008
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Geno Decondo
Title
Executive Director
Phone
(315) 724-6907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 6282300 NY Primary

Addresses

Primary practice location

10708 N Gage Rd
Barneveld, NY 13304-2527

Mailing address

1020 Mary St
Utica, NY 13501-1930
Phone (315) 724-6907

Other identifiers 1

IdentifierTypeStateIssuer
00807983MedicaidNY

Other names 1

  • United Cerebral Palsy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1881860633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011930",
            "telephone_number": "315-724-6907",
            "fax_number": "315-733-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 N GAGE RD",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133042527",
            "telephone_number": "315-896-2654",
            "fax_number": "315-896-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATECEREBRAL PALSY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "DECONDO",
        "authorized_official_first_name": "GENO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-724-6907"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "6282300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00807983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Cerebral Palsy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "United Cerebral Palsy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Barneveld, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.