CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER
NPI 1093875007
Clinic/Center - Rehabilitation, Substance Use Disorder in Goshen, NY

NPI Status: Active since December 11, 2006

Contact Information

27 MATTHEWS STREET
GOSHEN, NY
ZIP 10924
Phone: (845) 294-5124
Fax: (845) 294-1369

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 33D2212367
  • CLIA Cert. Type: Other - INPATIENT DETOX
  • CLIA Exp. Date: 03-26-2027

About CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER

This page provides the complete NPI Profile along with additional information for Catholic Charities Of Orange, Sullivan & Ulster, a provider established in Goshen, New York operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1093875007 assigned on December 2006. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Shannon Kelly (Chief Executive Officer)

NPI
1093875007
Provider Legal Name
CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
27 MATTHEWS STREET GOSHEN, NY 10924
Location Phone
(845) 294-5124
Location Fax
(845) 294-1369
Mailing Address
27 MATTHEWS STREET GOSHEN, NY 10924
Mailing Phone
(845) 294-5124
Mailing Fax
(845) 294-1369
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
Last Update Date
06-02-2025
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Location Map

Secondary Locations

  • 305 North St
    Middletown, NY 10940
    (845) 343-7675
  • 150 Pike St
    Port Jervis, NY 12771
    (845) 856-6344
  • 101 Carpenter Pl
    Monroe, NY 10950
    (845) 782-0295
  • 280 Broadway Lowr Level
    Newburgh, NY 12550
    (845) 562-8255
  • 8 Scofield St
    Walden, NY 12586
    (845) 778-5628
  • 396 Broadway
    Monticello, NY 12701
    (845) 794-8080
  • 17 Hamilton Ave
    Monticello, NY 12701
    (845) 794-8080

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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

070111579 (NY)

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

SHANNON KELLY

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(845) 294-5124

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
02739311MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2212367
Facility Type
Other - INPATIENT DETOX
Certificate Effective Date
February 04, 2021
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. PAUL D. SALZBERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Catholic Charities Of Orange, Sullivan & Ulster to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093875007, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 6 + 7 + 1 + 0 + 0 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1093875007.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093875007, enumerated as an "organization" on December 11, 2006.

The provider is located at 27 MATTHEWS STREET GOSHEN, NY 10924 and the phone number is (845) 294-5124.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.