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WIC PROGRAM
NPI 1639404064
Community/Behavioral Health in Bath, NY

Active since October 02, 2009
117 E STEUBEN ST, BATH, NY 14810(607) 776-1151(607) 776-2803 Get Directions Write a Review

NPPES record last updated: October 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wic Program NPPES

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

WIC PROGRAM (NPI 1639404064) is a healthcare organization registered as a community/behavioral health in Bath, New York and active in the NPI registry since October 2009. The organization lists Lisa Cogswell, Wic Program Director, as its authorized official.

NPPES Registry Identity

NPI1639404064
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROACTION OF STEUBEN AND YATES, INC.
Location Address117 E STEUBEN STBath, NY 14810-1636
Mailing Address117 E Steuben StBath, NY 14810-1636 · (607) 776-1151 · Fax (607) 776-2803
Phone(607) 776-1151
Fax(607) 776-2803
Organization SubpartNo
Authorized OfficialLisa CogswellWic Program Director · (607) 776-1151
Enumeration DateOctober 2, 2009
✔ NPI 1639404064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NY · NO TAXONOMY CODE
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.
117 E STEUBEN ST, Bath, NY 14810
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Other Names 1

Other NameWic Program

Other Identifiers 1

Medicaid01168258NY

Other Providers at the Same Location NPPES 2

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

MS. LOU ANNE CONRAD NP
Nurse Practitioner
117 E STEUBEN ST
BATH, NY 14810
Steuben County (607) 776-3063
PROACTION OF STEUBEN AND YATES INC
Case Management
117 E STEUBEN ST
BATH, NY 14810
Steuben County (607) 776-2125

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 Proaction Of Steuben And Yates, Inc.'s NPI number?

The NPI number for Proaction Of Steuben And Yates, Inc. is 1639404064. It was assigned to this organization in the NPPES registry on October 2, 2009. The provider is also known as Wic Program.

Where is Proaction Of Steuben And Yates, Inc. located?

Proaction Of Steuben And Yates, Inc. is located at 117 E Steuben St, Bath, NY 14810. The listed phone number is (607) 776-1151.

What is Proaction Of Steuben And Yates, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Proaction Of Steuben And Yates, Inc. was last updated on October 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.