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Contact Information

ONONDAGA CASE MANAGEMENT SERVICES INC.
620 ERIE BLVD W STE 302
SYRACUSE, NY13204-2463
 Phone: 315-472-7363
 Fax: 315-472-0084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ONONDAGA CASE MANAGEMENT SERVICES INC.

NPI # 1235184235
LBN Legal business name ONONDAGA CASE MANAGEMENT SERVICES INC.
Authorized official SCOTT EBNER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 09/16/2022 - About 4 years ago
Identifiers
NY License # NOT LICENSED IN NYS
NY License # VARIOUS
NY License # VARIOUS LICENSES
NY License # VARIOUS THERAPISTS
NY Medicaid 01212142
NY Medicaid 02382218
NY Medicaid 02717628
NY Medicaid 02994838
Other BA1047 MCR PTAN
NY Other 8044025A BEHAVIORAL HEALTH CLINIC-OMH OPERATING CERTIFICATE
NY Other 8044479A CASE MANAGEMENT OMH-OPERATING CERTIFICATE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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