MADISON COUNTY MENTAL HEALTH DEPARTMENT OUTPATIENT CLINIC
NPI 1689780546
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wampsville, NY
About Madison County Mental Health Department Outpatient Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON COUNTY MENTAL HEALTH DEPARTMENT OUTPATIENT CLINIC (NPI 1689780546) is a healthcare organization registered as a mental health (including community mental health center) in Wampsville, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Teisha M Cook, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madison County Mental Health Department Outpatient Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Madison County Mental Health Department Outpatient Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (18)
Wampsville, NY 13163
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 33D2300471
Madison County Mental Health · Wampsville, NYFrequently 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 Madison County's NPI number?
The NPI number for Madison County is 1689780546. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is also known as Madison County Mental Health Department Outpatient Clinic.
Where is Madison County located?
Madison County is located at 138 North Court Street, Wampsville, NY 13163. The listed phone number is (315) 366-2327.
What is Madison County's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Madison County enrolled in Medicare?
Yes. Madison County is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Madison County?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Madison County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (10), Nurse Practitioner (4) and Mental Health Counselor (2). Of these, 3 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Madison County hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2300471) 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 Madison County was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Madison County Mental Health Department Outpatient Clinic · NPI 1689780546
Mental Health (Including Community Mental Health Center) organization in Wampsville, New York. Organization record, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1689780546 (Entity type: Organization)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Madison County
- **Organization subpart:** No
- **Authorized official:** Teisha Cook, DIRECTOR
## Practice location
- **Address:** 138 NORTH COURT STREET, Wampsville, NY 13163-0608
- **Phone:** (315) 366-2327 · **Fax:** (315) 366-2599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (10), Nurse Practitioner (4), Mental Health Counselor (2); 3 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2019
- **Other identifiers:** Medicaid 00569860 (NY); Medicaid 03004400 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689780546) · Data from the CMS NPPES public registry.