Individual provider Active NPI

Bobbie Lynn Poles-Falk

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rochester, NY
National Provider Identifier
1932750247
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Practice address
1 Mustard St
Rochester, NY 14609-6980
Phone
(585) 654-1500
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1 Mustard St
Rochester, NY 14609-6980

Mailing address

16 Woodsmeadow LN
Rochester, NY 14623-2746
Phone (585) 629-8770

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL bpolesfa@hillside.com Direct Hillside Childrens Center
Direct Messaging Address bpolesfa@hillside.com Direct Hillside Childrens Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1932750247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WOODSMEADOW LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232746",
            "telephone_number": "585-629-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MUSTARD ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146096980",
            "telephone_number": "585-654-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLES-FALK",
        "first_name": "BOBBIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bpolesfa@hillside.com",
            "affiliation": "Y",
            "affiliationName": "Hillside Childrens Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Mustard St",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146096980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpolesfa@hillside.com",
            "affiliation": "Y",
            "affiliationName": "Hillside Childrens Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1183 Monroe Avenue",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.