Active NPI
Childrens HM Jefferson Cnty B2H
- Foster Care Agency
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 00009545
- Legal business name
- CHILDRENS HM JEFFERSON CNTY B2H
- Practice address
- 1704 State St
Watertown, NY 13601-3102 - Phone
- (315) 788-7430
- Fax
- (315) 785-5637
- NPI assigned
- Apr 6, 2010
- Last updated
- Jul 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Lynn Monnat, LMHC
- Title
- President and Ceo
- Phone
- (315) 777-9747
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 00009545 | NY | Primary |
Addresses
Primary practice location
1704 State St
Watertown, NY 13601-3102
Mailing address
1704 State St
Watertown, NY 13601-3102
Phone (315) 788-7430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03137895 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Childrens Home of Jefferson
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Watertown, NY
- NPI 1053453886
-
- Community/Behavioral Health Agency
- Watertown, NY
- NPI 1538455696
-
- Case Management Agency
- Watertown, NY
- NPI 1770625527
Locations
1704 State St
Watertown, NY 13601
Phone (315) 788-7430
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.
-
- Mental Health Counselor
- Watertown, NY
- NPI 1982130738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1972828697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 STATE ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136013102",
"telephone_number": "315-788-7430",
"fax_number": "315-785-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 STATE ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136013102",
"telephone_number": "315-788-7430",
"fax_number": "315-785-5637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS HM JEFFERSON CNTY B2H",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-06",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "MONNAT",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "315-777-9747",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NY",
"license": "00009545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03137895",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.