OrganizationActive
Fccnysarc
NPI 1558411140 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Johnstown, NY
Provider details
- NPI number
- 1558411140
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Matthew Johnston, Cfo(518) 773-7931
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
465 N Perry St
Johnstown, NY 12095-1014
Phone: (518) 773-7931
Fax: (518) 725-2850
Street-level locationGet directions
Mailing address
465 N Perry St
Johnstown, NY 12095-1014
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2008-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.