CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER
NPI 1093875007
Clinic/Center - Rehabilitation, Substance Use Disorder in Goshen, NY
About Catholic Charities Of Orange, Sullivan & Ulster NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CATHOLIC CHARITIES OF ORANGE, SULLIVAN & ULSTER (NPI 1093875007), doing business as Catholic Charities Community Services Of Orange County, is a healthcare organization registered as a rehabilitation, substance use disorder in Goshen, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains 7 additional practice locations, and lists Shannon Kelly, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 7
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Catholic Charities Of Orange, Sullivan & Ulster is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Catholic Charities Of Orange, Sullivan & Ulster, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 33D2212367
Catholic Charities Of Orange, Sullivan And Ulster Outpatient Services · Goshen, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Catholic Charities Of Orange, Sullivan & Ulster's NPI number?
The NPI number for Catholic Charities Of Orange, Sullivan & Ulster is 1093875007. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider was formerly known as Catholic Charities Community Services of Orange County.
Where is Catholic Charities Of Orange, Sullivan & Ulster located?
Catholic Charities Of Orange, Sullivan & Ulster is located at 27 Matthews Street, Goshen, NY 10924. The listed phone number is (845) 294-5124.
What is Catholic Charities Of Orange, Sullivan & Ulster's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Catholic Charities Of Orange, Sullivan & Ulster enrolled in Medicare?
Yes. Catholic Charities Of Orange, Sullivan & Ulster is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Catholic Charities Of Orange, Sullivan & Ulster?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Catholic Charities Of Orange, Sullivan & Ulster, in Family Practice and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Catholic Charities Of Orange, Sullivan & Ulster hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2212367) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Catholic Charities Of Orange, Sullivan & Ulster was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Catholic Charities Of Orange, Sullivan & Ulster · NPI 1093875007
Rehabilitation, Substance Use Disorder organization in Goshen, New York. Organization record, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1093875007 (Entity type: Organization)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Catholic Charities Community Services of Orange County (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Shannon Kelly, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 27 MATTHEWS STREET, Goshen, NY 10924
- **Phone:** (845) 294-5124 · **Fax:** (845) 294-1369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Psychiatry (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2025
- **Other identifiers:** Medicaid 02739311 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093875007) · Data from the CMS NPPES public registry.