NPIMap

Organization Active NPI

Fulton-Schoharie Counties Chapter Nysarc, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Johnstown, NY
National Provider Identifier
1891845483
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
FULTON-SCHOHARIE COUNTIES CHAPTER NYSARC, INC
Practice address
465 N Perry St
Johnstown, NY 12095-1014
Phone
(518) 773-7931
Fax
(518) 725-2850
NPI assigned
Jan 12, 2007
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Mr. Jamie Petrin
Title
Cfo
Phone
(518) 775-5412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

465 N Perry St
Johnstown, NY 12095-1014

Mailing address

465 N Perry St
Johnstown, NY 12095-1014
Phone (518) 775-5412

Other identifiers 1

IdentifierTypeStateIssuer
00888528MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Lexington Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1891845483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N PERRY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120951014",
            "telephone_number": "518-775-5412",
            "fax_number": "518-725-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N PERRY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120951014",
            "telephone_number": "518-773-7931",
            "fax_number": "518-725-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON-SCHOHARIE COUNTIES CHAPTER NYSARC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "PETRIN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-775-5412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.