Otsego County Mental Health Clinic

LBN: County Of Otsego
Otsego County Mental Health Clinic is an health care organization with primary practice located at 242 Main St , Oneonta NY 13820-2527. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. County Of Otsego can be contacted via phone (607) 433-2343, or through Matt, Susan A via phone (607) 433-2343.

Contact Information

Primary practice address
242 Main St Oneonta NY 13820-2527
Phone: (607) 433-2343
Fax: (607) 433-6229
Website:
Map and Directions
Authorized official contact:
Name: Matt, Susan A LCSW/CASAC
Phone: (607) 433-2343

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 6635100A New York
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1831145101
LBN Legal business name County Of Otsego
DBA Doing business as Otsego County Mental Health Clinic
Authorized official Matt, Susan A LCSW/CASAC
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 6th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831145101 NPPES
Other 115687 EXCELLUS BC/BS
MEDICAID 03004473 EXCELLUS BC/BS
Other Z4118 EXCELLUS BC/BS

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