Organization Active NPI

The Handicapped Children's Association of Southern New York, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Johnson City, NY
National Provider Identifier
1972417285
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
THE HANDICAPPED CHILDREN'S ASSOCIATION OF SOUTHERN NEW YORK, INC
Practice address
18 Broad St
Johnson City, NY 13790-2106
Phone
(607) 217-0066
Fax
(607) 217-0069
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Theresa Deane
Title
Cfo
Phone
(607) 217-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

18 Broad St
Johnson City, NY 13790-2106

Mailing address

114 Clinton St
Binghamton, NY 13905-2212
Phone (607) 217-0066

Other identifiers 1

IdentifierTypeStateIssuer
02247038MedicaidNY

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1972417285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CLINTON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052212",
            "telephone_number": "607-217-0066",
            "fax_number": "607-217-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BROAD ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902106",
            "telephone_number": "607-217-0066",
            "fax_number": "607-217-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HANDICAPPED CHILDREN'S ASSOCIATION OF SOUTHERN NEW YORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "DEANE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "607-217-0066"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.