COMMUNITY CLINIC OF JEFFERSON COUNTY
NPI 1538455696
Community/Behavioral Health in Watertown, NY
NPI Status: Active since June 27, 2011
Contact Information
211 JB WISE PL
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-7445
Fax: (315) 779-1184
- Organization
- Community/Behavioral Health
About COMMUNITY CLINIC OF JEFFERSON COUNTY
This page provides the complete NPI Profile along with additional information for Community Clinic Of Jefferson County, a provider established in Watertown, New York operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1538455696 assigned on June 2011. The practitioner's primary taxonomy code is 251S00000X with license number 9298014A (NY). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Community Clinic Of Jefferson County. The authorized official of this NPI record is Ms. Michelle L Monnat Lmhc (President And Ceo)
- NPI
- 1538455696
- Provider Legal Name
- CHILDREN'S HOME OF JEFFERSON COUNTY
- Other Organization Name
- COMMUNITY CLINIC OF JEFFERSON COUNTY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 211 JB WISE PL WATERTOWN, NY 13601
- Location Phone
- (315) 782-7445
- Location Fax
- (315) 779-1184
- Mailing Address
- PO BOX 6550 1704 STATE STREET WATERTOWN, NY 13601
- Mailing Phone
- (315) 788-7430
- Mailing Fax
- (315) 779-1184
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2011
- Last Update Date
- 07-08-2024
- Code Navigator
Location Map
Secondary Locations
- 20011 Summit Drive
Watertown, NY 13601
(315) 788-7430 - 80 State Highway 310
Canton, NY 13617
(315) 788-7430 - 1704 State St
Watertown, NY 13601
(315) 788-7464
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 9298014A
- License State
- NY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | 03A2861 (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.
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 |
|---|---|---|---|
| 9298014A | OTHER (01) | NY | NEW YORK STATE OFFICE OF MENTAL HEALTH/OPERATING CERTIFICATE |
| 3372621 | MEDICAID (05) | NY |
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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 1538455696, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538455696, enumerated as an "organization" on June 27, 2011.
The provider is located at 211 JB WISE PL WATERTOWN, NY 13601 and the phone number is (315) 782-7445.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
