Organization · Type 2 NPI
County of Orange
Mental Health Clinic/Center (Including Community Mental Health Center) · Port Jervis, NY
NPI number
1740227214
Active
Practice location
146 Pike Street
Port Jervis, NY 12771
Fax (845) 858-1459
Mailing address
30 Harrman Drive
Goshen, NY 10924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 7201109A (NY) |
| Adult Mental Health Clinic/Center | 261QM0850X | 7201109A (NY) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 7201109A (NY) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
5 other providers at this address
- Christine Smallin, LCSWClinical Social Worker Port Jervis, NY NPI 1144474461
- Lillian RothenhausMental Health Counselor Port Jervis, NY NPI 1346574571
- Martha McPhail Thomson, NPPsychiatric/Mental Health Nurse Practitioner Port Jervis, NY NPI 1417149659
- Michael Jason Wickham, LCSWClinical Social Worker Port Jervis, NY NPI 1750774741
- Phillip Whayne Bennett, LCSWClinical Social Worker Port Jervis, NY NPI 1629223730
Other mental health clinic/center (including community mental health center) providers in Port Jervis
About NPI 1740227214
County of Orange's National Provider Identifier is 1740227214, issued on Jun 1, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Port Jervis, NY. The record was last updated on Jul 8, 2021.