1780619064 NPI number — CITIZEN ADVOCATES, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780619064 NPI number — CITIZEN ADVOCATES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITIZEN ADVOCATES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTH STAR BEHAVIORAL HEALTH SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780619064
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 608
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MALONE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12953-0608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-483-1251
Provider Business Mailing Address Fax Number:
518-483-2242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MALONE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12953-1246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-483-1251
Provider Business Practice Location Address Fax Number:
518-483-2242
Provider Enumeration Date:
07/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BARNEY
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CREDENTIALING MANAGER
Authorized Official Telephone Number:
518-651-2302

Provider Taxonomy Codes

  • Taxonomy code: 261QD1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01303777 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01905944 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00706818 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01111260 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00942425 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00942443 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02129702 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00947315 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01386410 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01155215 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02039623 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02067825 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00942434 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01491249 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01736910 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01750554 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02281203 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00949697 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01859425 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".