CAYUGA ADDICTION RECOVERY SERVICES
NPI 1043686314
Community/Behavioral Health in Ithaca, NY

Q: What is Cayuga Addiction Recovery Services's NPI number?

The NPI number for Cayuga Addiction Recovery Services is 1043686314. It was assigned to this organization in the NPPES registry on August 20, 2015.

Q: What is Cayuga Addiction Recovery Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 20, 2015CLIA 33D2169558 · Waiver

334 W STATE ST, ITHACA, NY 14850(607) 273-5500 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cayuga Addiction Recovery Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAYUGA ADDICTION RECOVERY SERVICES (NPI 1043686314) is a healthcare organization registered as a community/behavioral health in Ithaca, New York and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Anthony Michael Lambert Johnston, Primary Addictions Counselor, as its authorized official.

NPPES Registry Identity

NPI1043686314

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCAYUGA ADDICTION RECOVERY SERVICES

Location Address334 W STATE STIthaca, NY 14850-5432

Mailing Address477 Nelson Rd, ApartmentIthaca, NY 14850-9437 · (607) 229-0170

Phone(607) 273-5500

Organization SubpartNo

Authorized OfficialAnthony Michael Lambert JohnstonPrimary Addictions Counselor · (607) 273-5500

Enumeration DateAugust 20, 2015

✔ NPI 1043686314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

334 W STATE ST, Ithaca, NY 14850

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Other Identifiers 1

Other095740NY · Nys Office Of The Professions - Lmsw

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2169558

Cayuga Addiction Recovery Services Residential Program · Trumansburg, NY

Active · expires Mar 26, 2027

CLIA Number33D2169558

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateJuly 23, 2019

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Johnpaul D. Mead

Laboratory Phone(607) 273-5500

Laboratory LocationCayuga Addiction Recovery Services Residential Program6621 Rte 227, Trumansburg, NY 14886

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER DODGE LMSW

Counselor (Addiction (Substance Use Disorder))