NPIMap

Organization Active NPI

Steuben County, Dba Steuben County Community Services Substance &Alcoh

Doing business as Steuben County Community Services - SA

  • Addiction (Substance Use Disorder) Counselor
  • Bath, NY
National Provider Identifier
1962568915
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
STEUBEN COUNTY, DBA STEUBEN COUNTY COMMUNITY SERVICES SUBSTANCE &ALCOH
Doing business as
Steuben County Community Services - SA
Practice address
115 Liberty St
Bath, NY 14810-1508
Phone
(607) 776-6577
NPI assigned
Dec 27, 2006
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Henry W. Chapman, PSY.DNPI 1699864025
Title
Director
Phone
(607) 664-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

115 Liberty St
Bath, NY 14810-1508

Mailing address

115 Liberty Street
Bath, NY 14810-1508
Phone (607) 664-2255

Other identifiers 5

IdentifierTypeStateIssuer
112630100OtherNYACS
00930089MedicaidNY
7342561OtherNYGHI BMP NYSHIP VO FHP
000426190OtherNYUNIVERA
105427AMOtherNYPREFERRED CARE

Other names 1

  • Steuben County Community Services - SA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steuben County Public H11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1962568915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LIBERTY STREET",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101508",
            "telephone_number": "607-664-2255",
            "fax_number": "607-664-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LIBERTY ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101508",
            "telephone_number": "607-776-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEUBEN COUNTY, DBA STEUBEN COUNTY COMMUNITY SERVICES SUBSTANCE &ALCOH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "607-664-2255",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "112630100",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00930089",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI BMP NYSHIP VO FHP",
            "identifier": "7342561",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "000426190",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "105427AM",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steuben County Community Services - SA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.