NPIMap

Organization Active NPI

County of Chautauqua - a Mun Corp

Doing business as Chautauqua County Department of Mental Hygiene

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NY
National Provider Identifier
1902897374
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF CHAUTAUQUA - A MUN CORP
Doing business as
Chautauqua County Department of Mental Hygiene
Practice address
200 E 3Rd St Ste 5
Jamestown, NY 14701-5433
Phone
(716) 661-8330
Fax
(716) 661-8364
NPI assigned
Nov 3, 2005
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Mr. Carmelo Hernandez
Title
Dir. of Comm. Mental Hygiene Ser
Phone
(716) 753-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 E 3Rd St Ste 5
Jamestown, NY 14701-5433

Mailing address

2 Academy St RM 201
Mayville, NY 14757-1050
Phone (716) 753-4104

Other practice location 1

60 Franklin Ave
Dunkirk, NY 14048-2804
Phone (716) 363-3550

Other names 1

  • Chautauqua County Department of Mental Hygiene Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000400 NY Part B Supplier - Clinic/Group Practice 1951380633 Receives reassigned benefits from 35 practitioners
Practice locations: Silver Creek, NY; Mayville, NY; Jamestown, NY; Frewsburg, NY; Falconer, NY; Dunkirk, NY; Brocton, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2156747Chautauqua County Department of200 E 3Rd St - Municipal BLDG 5TH Floor, Jamestown, NY 14701Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

60 Franklin Ave
Dunkirk, NY 14048
Phone (716) 363-3500

159 Buffalo St
Jamestown, NY 14701
Phone (716) 483-4441

200 E 3rd St
Jamestown, NY 14701
Phone (716) 661-8330

3 N Erie St
Mayville, NY 14757

Practitioners & affiliated clinicians

Practitioners 155

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 155

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1902897374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ACADEMY ST RM 201",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571050",
            "telephone_number": "716-753-4104",
            "fax_number": "716-753-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD ST STE 5",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015433",
            "telephone_number": "716-661-8330",
            "fax_number": "716-661-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482804",
            "country_code": "US",
            "telephone_number": "716-363-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF CHAUTAUQUA - A MUN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_title_or_position": "DIR. OF COMM. MENTAL HYGIENE SER",
        "authorized_official_telephone_number": "716-753-4104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua County Department of Mental Hygiene",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chautauqua County Department of Mental Hygiene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.