# CORTLAND COUNTY COUNTY TREASURER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cortland County Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518126549
- **Authorized official:** SHARON MACDOUGALL LCSW-R (DIRECTOR OF COMMUNITY SERVICES)
- **Authorized official phone:** (607) 758-6100

## Contact information

- **Practice address:** 7 CLAYTON AVE, CORTLAND, NY 13045-2501
- **Practice address phone:** (607) 758-6100
- **Practice address fax:** (607) 758-6116
- **Mailing address:** 7 CLAYTON AVE, CORTLAND, NY 13045-2501
- **Mailing address phone:** (607) 758-6100
- **Mailing address fax:** (607) 758-6116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 05/18/2023