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ELMCREST CHILDRENS CENTER
NPI 1417080292
Residential Treatment Facility, Emotionally Disturbed Children in Syracuse, NY

Active since March 13, 2007CLIA 33D2229620 · Waiver
960 SALT SPRINGS RD, SYRACUSE, NY 13224(315) 446-6250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elmcrest Childrens Center NPPES

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

ELMCREST CHILDRENS CENTER (NPI 1417080292) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Syracuse, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists John E Henley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417080292
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameELMCREST CHILDRENS CENTER
Location Address960 SALT SPRINGS RDSyracuse, NY 13224-1639
Mailing Address960 Salt Springs RdSyracuse, NY 13224-1639 · (315) 446-6250
Phone(315) 446-6250
Organization SubpartNo
Authorized OfficialJohn E HenleyExecutive Director · (315) 446-6250
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417080292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
960 SALT SPRINGS RD, Syracuse, NY 13224
Open in Google Maps ↗

Other Identifiers 1

Medicaid00343311NY

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 33D2229620

Elmcrest Childrens Center · Syracuse, NY
Active · expires Mar 26, 2027
CLIA Number33D2229620
Laboratory TypeSpecial Needs Housing
Certificate Effective DateJuly 14, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gerald Edwards
Laboratory Phone(315) 446-6250
Laboratory LocationElmcrest Childrens Center960 Salt Springs Rd, Syracuse, NY 13224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

AMY KATHRYN AUSTIN LMSW
Social Worker
960 SALT SPRINGS RD
SYRACUSE, NY 13224
Onondaga County (315) 446-6250
RACHEL MCCLEAN LMT
Social Worker (Clinical)
960 SALT SPRINGS RD
SYRACUSE, NY 13224
Onondaga County (315) 440-7744
ERIN MURPHY
Occupational Therapist
960 SALT SPRINGS RD
SYRACUSE, NY 13224
Onondaga County (315) 446-6250
SHAUNNA RAE DETOR RN
Registered Nurse
960 SALT SPRINGS RD
SYRACUSE, NY 13224
Onondaga County (315) 446-6250
SYRACUSE BEHAVIORAL AND PSYCHOLOGICAL SERVICES, PLLC
Psychologist
960 SALT SPRINGS RD
SYRACUSE, NY 13224
Onondaga County (315) 446-6250
DR. SARAH FEOCCO PSY.D.
Psychologist (Clinical)
960 SALT SPRINGS RD
SYRACUSE, NY 13224
Onondaga County (315) 446-6250
ARIELLE N GLOTT LMHC
Counselor (Mental Health)
960 SALT SPRINGS RD
SYRACUSE, NY 13224
Onondaga County (315) 446-6250
MS. NICOLE ANNE WALKER LPMC
Counselor (Mental Health)
960 SALT SPRINGS RD, COTTAGE 6, 3RD FLR
SYRACUSE, NY 13224
Onondaga County (315) 446-6250

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 Elmcrest Childrens Center's NPI number?

The NPI number for Elmcrest Childrens Center is 1417080292. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Elmcrest Childrens Center located?

Elmcrest Childrens Center is located at 960 Salt Springs Rd, Syracuse, NY 13224. The listed phone number is (315) 446-6250.

What is Elmcrest Childrens Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Elmcrest Childrens Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2229620) 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 Elmcrest Childrens Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.