Provider Demographics
NPI:1780619064
Name:CITIZEN ADVOCATES, INC
Entity type:Organization
Organization Name:CITIZEN ADVOCATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-651-2302
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-0608
Mailing Address - Country:US
Mailing Address - Phone:518-483-1251
Mailing Address - Fax:518-483-2242
Practice Address - Street 1:31 6TH ST
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1246
Practice Address - Country:US
Practice Address - Phone:518-483-1251
Practice Address - Fax:518-483-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01303777Medicaid
NY01905944Medicaid
NY00706818Medicaid
NY01111260Medicaid
NY00942425Medicaid
NY00942443Medicaid
NY02129702Medicaid
NY00947315Medicaid
NY01386410Medicaid
NY01155215Medicaid
NY02039623Medicaid
NY02067825Medicaid
NY00942434Medicaid
NY01491249Medicaid
NY01736910Medicaid
NY01750554Medicaid
NY02281203Medicaid
NY00949697Medicaid
NY01859425Medicaid
NY01750554Medicaid