Organization
CHILDREN'S HOME OF JEFFERSON COUNTY
Active
Other names
Community Clinic of Jefferson County
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE L MONNAT LMHC (PRESIDENT AND CEO)
(315) 788-7430
Entity
Organization
Contact information
Practice address
211 JB WISE PL, WATERTOWN, NY 13601-2507
(315) 782-7445
(315) 779-1184
Mailing address
PO BOX 6550, 1704 STATE STREET, WATERTOWN, NY 13601-6550
(315) 788-7430
(315) 785-5637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9298014A
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
03A2861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372621
—
NY
01
—
9298014A
NEW YORK STATE OFFICE OF MENTAL HEALTH/OPERATING CERTIFICATE
NY
Enumeration date
06/27/2011
Last updated
07/08/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up