NPIMap

Organization Active NPI

United Cerebral Palsy of Ulster County Inc.

  • Developmental Disabilities Clinic/Center
  • Lake Katrine, NY
National Provider Identifier
1982763678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
UNITED CEREBRAL PALSY OF ULSTER COUNTY INC.
Practice address
250 Tuytenbridge Rd
Lake Katrine, NY 12449-5429
Phone
(845) 336-7235
Fax
(845) 336-5919
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Pamela Carroad
Title
Executive Director
Phone
(845) 336-7235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

250 Tuytenbridge Rd
Lake Katrine, NY 12449-5429

Mailing address

PO Box 1488
Kingston, NY 12402-1488
Phone (845) 336-7235

Other identifiers 1

IdentifierTypeStateIssuer
01119644MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy of Ulster County Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

250 Tuytenbridge Rd
Lake Katrine, NY 12449
Phone (845) 336-7235

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982763678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124021488",
            "telephone_number": "845-336-7235",
            "fax_number": "845-336-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TUYTENBRIDGE RD",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495429",
            "telephone_number": "845-336-7235",
            "fax_number": "845-336-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF ULSTER COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROAD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-336-7235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01119644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.