Ontario County

LBN: Ontario County
Ontario County is an health care organization with primary practice located at 3019 County Complex Dr , Canandaigua NY 14424-9505. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty. Ontario County can be contacted via phone (585) 396-4363, or through Mitchell, Jessica via phone (585) 396-4363.

Contact Information

Primary practice address
3019 County Complex Dr Canandaigua NY 14424-9505
Phone: (585) 396-4363
Fax: (585) 396-4993
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Jessica PHD
Phone: (585) 396-4363

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6879100A New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6879100A New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 6879100A New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6879100A New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 6879100A New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6879100A New York

Profile Details

NPI number 1003802190
LBN Legal business name Ontario County
DBA Doing business as
Authorized official Mitchell, Jessica PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Apr 1st, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003802190 NPPES
New York MEDICAID 00357846
New York Other 014003729
New York Other 103283EU
New York Other EM
New York Other 3109089

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