Healthcare Provider Details

I. General information

NPI: 1609838226
Provider Name (Legal Business Name): UNITED CEREBRAL PALSY ASSOCIATION OF CAYUGA COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 NORTH ST
AUBURN NY
13021-1811
US

IV. Provider business mailing address

182 NORTH STREET
AUBURN NY
13021-1811
US

V. Phone/Fax

Practice location:
  • Phone: 315-255-2746
  • Fax: 315-255-2740
Mailing address:
  • Phone: 315-255-2746
  • Fax: 315-255-2740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DARRELL WHITBECK
Title or Position: CEO
Credential: OTR/L
Phone: 315-255-2746