CIRCARE BEHAVIORAL HEALTH CLINIC
NPI 1497252563
Clinic/Center - Adult Mental Health in Syracuse, NY

NPI Status: Active since April 06, 2018

Contact Information

620 ERIE BLVD W STE 208
SYRACUSE, NY
ZIP 13204
Phone: (315) 472-7363

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About CIRCARE BEHAVIORAL HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Circare Behavioral Health Clinic, a provider established in Syracuse, New York operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1497252563 assigned on April 2018. The practitioner's primary taxonomy code is 261QM0850X with license number 8044025A (NY). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is Circare Behavioral Health Clinic. The authorized official of this NPI record is Scott Ebner (Executive Director)

NPI
1497252563
Provider Legal Name
ONONDAGA CASE MANAGEMENT SERVICES INC.
Other Organization Name
CIRCARE BEHAVIORAL HEALTH CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
620 ERIE BLVD W STE 208 SYRACUSE, NY 13204
Location Phone
(315) 472-7363
Mailing Address
620 ERIE BLVD W STE 208 SYRACUSE, NY 13204
Mailing Phone
(315) 472-7363
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2018
Last Update Date
04-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
8044025A
License State
NY
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT EBNER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(315) 472-7363

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02717628MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497252563
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187454512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 5 + 4 + 5 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1497252563 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538672860 JIXUAN ZHAO
Individual
Social Worker620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 427-7363
1669988788 JOANN DAUCHER LPN
Individual
Licensed Practical Nurse620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 472-7363
1477873776 LORNA CORDELLA FORBES FNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 472-7363
1538630173MR. CODY PATRICK CAMPBELL
Individual
Social Worker620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 472-7363
1033775408 ASHLEY MICHELLE PRICE DNP PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 472-7363
1457831901 NICOLE MOODY LMFT
Individual
Marriage & Family Therapist620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 472-7363
1881293116 ELIZABETH HOUSTON LMSW
Individual
Social Worker620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 472-7363
1811596968 BREANNA TERESA MCINTYRE LMSW
Individual
Social Worker620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
(315) 472-7363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497252563, enumerated in the NPI registry as an "organization" on April 06, 2018

The provider is located at 620 Erie Blvd W Ste 208 Syracuse, Ny 13204 and the phone number is (315) 472-7363

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 06, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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