COMMUNITY CLINIC OF JEFFERSON COUNTY - NPI 1538455696 - Community/Behavioral Health in Watertown, NY

Q: What is Children's Home Of Jefferson County's NPI number?

The NPI number for Children's Home Of Jefferson County is 1538455696. It was assigned to this organization in the NPPES registry on June 27, 2011. The provider is also known as Community Clinic Of Jefferson County.

Q: What is Children's Home Of Jefferson County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Community Clinic Of Jefferson County NPPES

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

COMMUNITY CLINIC OF JEFFERSON COUNTY (NPI 1538455696) is a healthcare organization registered as a community/behavioral health in Watertown, New York and active in the NPI registry since June 2011. The organization maintains 3 additional practice locations and lists Michelle L Monnat, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1538455696

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCHILDREN'S HOME OF JEFFERSON COUNTY

Location Address211 JB WISE PLWatertown, NY 13601-2507

Mailing AddressPo Box 6550, 1704 State StreetWatertown, NY 13601-6550 · (315) 788-7430 · Fax (315) 785-5637

Phone(315) 782-7445

Fax(315) 779-1184

Organization SubpartNo

Authorized OfficialMichelle L MonnatPresident And Ceo · (315) 788-7430

Enumeration DateJune 27, 2011

Last NPPES UpdateJuly 8, 2024

NPPES CertifiedJuly 8, 2024

✔ NPI 1538455696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NY · 9298014A

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 03A2861 (NY)

211 JB WISE PL, Watertown, NY 13601

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Other Names 1

Other NameCommunity Clinic Of Jefferson County

Secondary Practice Locations 3

Location 120011 Summit DriveWatertown, NY 13601 · Phone (315) 788-7430

Location 21704 State StWatertown, NY 13601-3102 · Phone (315) 788-7464

Location 380 State Highway 310Canton, NY 13617-1436 · Phone (315) 788-7430

Other Identifiers 2

Other9298014ANY · New York State Office Of Mental Health/operating Certificate

Medicaid3372621NY

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.

ABBIGAIL F CARROLL LPN

Licensed Practical Nurse