Mental Health Association in Fulton and Montgom

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

R7277431 Issued in NY

Legal business name

MENTAL HEALTH ASSOCIATION IN FULTON AND MONTGOM

Practice address

11 Mohawk Place
Amsterdam, NY 12010

Phone

(518) 842-3717

Fax

(518) 842-0228

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Janine Ann Dykeman, M.S.

Title

Executive Director

Phone

(518) 762-5332

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1992898670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307-309 MEADOW STREET",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "12095",
            "telephone_number": "518-762-5332",
            "fax_number": "518-762-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MOHAWK PLACE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-842-3717",
            "fax_number": "518-842-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION IN FULTON AND MONTGOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "DYKEMAN",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-762-5332",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R7277431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304750",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3E7",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra McNeal, DMD
• Lindsay Meadows, FNP
• James R Meehan
• John R Mellor Jr., RPH
• Aubrey A Mendoza, PA-C
• Carolyn Helen Meyers, MS RD CDN
• Jeanne Elizabeth Meyers, M.S., CCC-SLP
• Michael a. Rochet, M.D.,P.C.
• Michael M. Sheridan,D.O.
• Bethany Mifsud, LCSW

• Community/Behavioral Health Agency in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.