Provider Demographics
NPI:1063499564
Name:PUTNAM ANGER ASSOCIATES INC
Entity Type:Organization
Organization Name:PUTNAM ANGER ASSOCIATES INC
Other - Org Name:UNIVERSITY CENTER SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ANGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD BCD
Authorized Official - Phone:714-837-8333
Mailing Address - Street 1:1914 COLVIN BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TONAWONDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-6973
Mailing Address - Country:US
Mailing Address - Phone:716-837-8333
Mailing Address - Fax:716-837-3035
Practice Address - Street 1:1914 COLVIN BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:TONAWONDA
Practice Address - State:NY
Practice Address - Zip Code:14150-6973
Practice Address - Country:US
Practice Address - Phone:716-837-8333
Practice Address - Fax:716-837-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR01318611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
005502OtherVALUE OPTIONS CIGNA
00020953502OtherUNIVERA HEALTHCARE
000508639001OtherBLUE CROSS BLUE SHIELD
6190168OtherINDEPENDENT HEALTH
00020953502OtherUNIVERA HEALTHCARE
6190168OtherINDEPENDENT HEALTH