NPIMap

Organization Active NPI

Claxton Hepburn Medical Center

Doing business as Claxton Hepburn Wellness Center

  • Community/Behavioral Health Agency
  • Ogdensburg, NY
National Provider Identifier
1922699842
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLAXTON HEPBURN MEDICAL CENTER
Doing business as
Claxton Hepburn Wellness Center
Practice address
214 King St
Ogdensburg, NY 13669-1142
Phone
(315) 713-5354
NPI assigned
Feb 2, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CLAXTON HEPBURN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Rob Bloom
Title
Cfo
Phone
(315) 713-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

214 King St
Ogdensburg, NY 13669-1142

Mailing address

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 713-5354

Other identifiers 1

IdentifierTypeStateIssuer
8231001AOtherNYNYS OFFICE OF MENTAL HEALTH ARTICLE 31 LICENSURE

Other names 1

  • Claxton Hepburn Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shiv Kumar MD4 organizations share this tax ID, including this one
Part of
Shiv Kumar MD

Other organizations with this tax ID 3

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": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1922699842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-713-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-713-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON HEPBURN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAXTON HEPBURN MEDICAL CENTER",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-713-5202"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OFFICE OF MENTAL HEALTH ARTICLE 31 LICENSURE",
            "identifier": "8231001A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton Hepburn Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Claxton Hepburn Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.