CLUTCH NP IN PSYCHIATRY AND COMMUNITY HEALTH PC
NPI 1972392074
Clinic/Center - Multi-Specialty in Syracuse, NY

Active since May 05, 2025
518 AUDUBON PKWY, SYRACUSE, NY 13224(347) 257-6706 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2026, May 12, 2025, May 5, 2025 (3 updates tracked since 2025).

About Clutch Np In Psychiatry And Community Health Pc NPPES

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

CLUTCH NP IN PSYCHIATRY AND COMMUNITY HEALTH PC (NPI 1972392074) is a healthcare organization registered as a multi-specialty in Syracuse, New York and active in the NPI registry since May 2025. The organization lists Afix Famosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1972392074
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCLUTCH NP IN PSYCHIATRY AND COMMUNITY HEALTH PC
Location Address518 AUDUBON PKWYSyracuse, NY 13224-1208
Mailing Address518 Audubon PkwySyracuse, NY 13224-1208 · (347) 257-6706
Organization SubpartNo
Authorized OfficialAfix FamosaOwner · (347) 257-6706
Enumeration DateMay 5, 2025
Last NPPES UpdateApril 19, 20263 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
✔ NPI 1972392074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
518 AUDUBON PKWY, Syracuse, NY 13224

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clutch Np In Psychiatry And Community Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clutch Np In Psychiatry And Community Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1407237647
4443 CLEVELAND RD
Syracuse, NY 13215
(347) 257-6706
✔ PECOS✔ Accepts Medicare6.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clutch Np In Psychiatry And Community Health PC's NPI number?

The NPI number for Clutch Np In Psychiatry And Community Health PC is 1972392074. It was assigned to this organization in the NPPES registry on May 5, 2025.

Where is Clutch Np In Psychiatry And Community Health PC located?

Clutch Np In Psychiatry And Community Health PC is located at 518 Audubon Pkwy, Syracuse, NY 13224. The listed phone number is (347) 257-6706.

What is Clutch Np In Psychiatry And Community Health PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Clutch Np In Psychiatry And Community Health PC enrolled in Medicare?

Yes. Clutch Np In Psychiatry And Community Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clutch Np In Psychiatry And Community Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clutch Np In Psychiatry And Community Health PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clutch Np In Psychiatry And Community Health PC was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.