Organization Active NPI

Depaul Community Services SCM

  • Case Management Agency
  • Rochester, NY
National Provider Identifier
1942374368
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEPAUL COMMUNITY SERVICES SCM
Practice address
1931 Buffalo Rd
Rochester, NY 14624-1535
Phone
(585) 426-8000
NPI assigned
Nov 17, 2006
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mr. James M Whalen
Title
Cfo
Phone
(585) 426-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1931 Buffalo Rd
Rochester, NY 14624-1535

Mailing address

1931 Buffalo Rd
Rochester, NY 14624-1535

Other identifiers 1

IdentifierTypeStateIssuer
02189628MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Depaul Community Services4 organizations share this tax ID, including this one

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1942374368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241535",
            "telephone_number": "585-426-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL COMMUNITY SERVICES SCM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-426-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02189628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Oct 4, 2010; 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.