Organization
TOMPKINS COUNTY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY PORTER (FISCAL ADMINISTRATOR)
(607) 274-6200
Entity
Organization
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5421
(607) 274-6305
(607) 274-6316
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5421
(607) 274-6305
(607) 274-6316
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6892300A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000147759
EXCELLUS
—
05
—
00357891
—
NY
01
—
012251
VALUE OPTIONS
—
Enumeration date
07/25/2006
Last updated
03/21/2025
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