NPIMap

Organization Active NPI

Mental Health Services of Erie County, Southeast Corp. V

Doing business as Spectrum Human Services

  • Case Management Agency
  • Warsaw, NY
National Provider Identifier
1962684316
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP. V
Doing business as
Spectrum Human Services
Practice address
34 N Main St
Warsaw, NY 14569-1326
Phone
(585) 786-0220
Fax
(585) 786-3631
NPI assigned
Nov 28, 2007
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Bruce C NisbetNPI 1801185947
Title
President/Ceo
Phone
(716) 662-2040

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
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

34 N Main St
Warsaw, NY 14569-1326

Mailing address

227 Thorn Ave
Box 631
Orchard Park, NY 14127-2600
Phone (716) 662-2040

Other identifiers 1

IdentifierTypeStateIssuer
1143599MedicaidNY

Other names 1

  • Spectrum Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Services of Erie County Secv17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1962684316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 THORN AVE",
            "address_2": "BOX 631",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272600",
            "telephone_number": "716-662-2040",
            "fax_number": "716-662-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691326",
            "telephone_number": "585-786-0220",
            "fax_number": "585-786-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP. V",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "NISBET",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-662-2040"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.