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UPSTATE CEREBRAL PALSY
NPI 1184785172
Intermediate Care Facility, Intellectual Disabilities in Utica, NY

Active since December 13, 2006
1235 TILDEN AVE, UTICA, NY 13501(315) 798-9577(315) 798-9789 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2023, Oct 26, 2018 (2 updates tracked since 2018).

About Upstate Cerebral Palsy NPPES

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

UPSTATE CEREBRAL PALSY (NPI 1184785172) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Utica, New York and active in the NPI registry since December 2006. The organization lists Geno Decondo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184785172
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameUPSTATE CEREBRAL PALSY
Location Address1235 TILDEN AVEUtica, NY 13501-4150
Mailing Address125 Business Park DrUtica, NY 13502-6305 · (315) 724-6907 · Fax (315) 733-0791
Phone(315) 798-9577
Fax(315) 798-9789
Organization SubpartNo
Authorized OfficialGeno DecondoExecutive Director · (315) 724-6907
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1184785172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NY · 02007629
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1235 TILDEN AVE, Utica, NY 13501
Open in Google Maps ↗

Other Identifiers 1

Medicaid02007629NY

Frequently 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 Upstate Cerebral Palsy's NPI number?

The NPI number for Upstate Cerebral Palsy is 1184785172. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Upstate Cerebral Palsy located?

Upstate Cerebral Palsy is located at 1235 Tilden Ave, Utica, NY 13501. The listed phone number is (315) 798-9577.

What is Upstate Cerebral Palsy's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Upstate Cerebral Palsy was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.