OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC
NPI 1467555243
Clinic/Center - Rehabilitation, Substance Use Disorder in Cooperstown, NY

NPI Status: Active since September 06, 2006

Contact Information

140 COUNTY HIGHWAY 33W
SUITE 1
COOPERSTOWN, NY
ZIP 13326
Phone: (607) 547-1600
Fax: (607) 547-1607

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 33D2162198
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC

This page provides the complete NPI Profile along with additional information for Otsego County Chemical Dependencies Clinic, a provider established in Cooperstown, New York operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1467555243 assigned on September 2006. The practitioner's primary taxonomy code is 261QR0405X with license number 061110917 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Otsego County Chemical Dependencies Clinic. The authorized official of this NPI record is Ms. Susan A Matt Lcsw/casac (Director Of Community Services)

NPI
1467555243
Provider Legal Name
OTSEGO COUNTY COMMUNITY SERVICES
Other Organization Name
OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
140 COUNTY HIGHWAY 33W SUITE 1 COOPERSTOWN, NY 13326
Location Phone
(607) 547-1600
Location Fax
(607) 547-1607
Mailing Address
242 MAIN ST SECOND FLOOR ONEONTA, NY 13820
Mailing Phone
(607) 431-1030
Mailing Fax
(607) 547-1607
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2006
Last Update Date
05-06-2013
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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
License No.
061110917
License State
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

MS. SUSAN A MATT LCSW/CASAC

Authorized Official Title
DIRECTOR OF COMMUNITY SERVICES
Authorized Official Phone
(607) 433-2343

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
00583582MEDICAID (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
33D2162198
Facility Type
Community Clinic
Certificate Effective Date
February 19, 2019
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. CELESTE A. JOHNS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Otsego County Chemical Dependencies Clinic 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.

Reviews for OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC

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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 1467555243, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 0 + 5 + 1 + 0 + 2 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1467555243.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Early Intervention Provider Agency
140 COUNTY HIGHWAY 33W, SUITE 3
COOPERSTOWN, NY 13326
Early Intervention Provider Agency
140 COUNTY HIGHWAY 33W, SUITE 3
COOPERSTOWN, NY 13326
Occupational Therapist
140 COUNTY HIGHWAY 33W, SUITE 3
COOPERSTOWN, NY 13326
Case Manager/Care Coordinator
140 COUNTY HIGHWAY 33W, SUITE 3
COOPERSTOWN, NY 13326
Case Manager/Care Coordinator
140 COUNTY HIGHWAY 33W
COOPERSTOWN, NY 13326
Case Management
140 COUNTY HIGHWAY 33W, THE MEADOWS OFFICE COMPLEX SUITE 5
COOPERSTOWN, NY 13326
Local Education Agency (LEA)
140 COUNTY HIGHWAY 33W, SUITE 3
COOPERSTOWN, NY 13326
Ambulance (Land Transport)
140 COUNTY HIGHWAY 33W
COOPERSTOWN, NY 13326
Public Health or Welfare
140 COUNTY HIGHWAY 33W, SUITE 3
COOPERSTOWN, NY 13326
Registered Nurse (School)
140 COUNTY HIGHWAY 33W
COOPERSTOWN, NY 13326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467555243, enumerated as an "organization" on September 06, 2006.

The provider is located at 140 COUNTY HIGHWAY 33W SUITE 1 COOPERSTOWN, NY 13326 and the phone number is (607) 547-1600.

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.