SAGE COLLEGE WELNESS CENTER - TROY (NPI# 1033514930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033514930 |
| Entity Type | Organization |
| Organization Name | SAGE COLLEGE WELNESS CENTER - TROY |
| Practice Address |
65 1st St Troy NY 12180 |
| Practice Telephone | 5182442261 |
| Mailing Telephone | 5182442261 |
| Mailing Fax Number | 5182442262 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | STACEY THAYER (DIRECTOR - WELNESS CENTER) |
| Authorized Official Telephone | 5182442273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
65 1ST ST |
| City | TROY |
| State | NY |
| Zip Code | 12180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093241259 | Akie Kido | Physical Therapist | 65 1st St, Troy, NY 12180-4013 | 2017-05-10 |
| 1215369806 | Novita Cindy Baldeo | Physical Therapist | 65 1st St, Troy, NY 12180-4013 | 2013-08-06 |
| 1386088862 | Samantha Jean Dickson | Physical Therapist | 65 1st St, Troy, NY 12180-4013 | 2013-04-26 |
| 1821432436 | Abigail Ruth Schuck | Physical Therapist | 65 1st St, Troy, NY 12180-4013 | 2013-04-25 |
| 1003259599 | Danielle Marie Sardon | Student in an Organized Health Care Education/Training Program | 65 1st St, Troy, NY 12180-4013 | 2013-04-15 |
| 1770848392 | Danielle L Mignemi | Specialist/Technologist | 65 1st St, Troy, NY 12180-4013 | 2012-07-10 |
| 1326313479 | John Algas Potenciano | Nurse Practitioner | 65 1st St, Troy, NY 12180-4013 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033495643 | Jung Yoen Son | Nurse Practitioner | 2274 Golfview Dr, Apt 202, Troy, MI 48084-3848 | 2011-10-26 |
| 1619976388 | Andrea Nicole Kwasky | Nurse Practitioner | 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 | 2005-07-15 |
| 1356959316 | Daniel Grant Pecan | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2475 | 2020-07-16 |
| 1912524190 | Jessica Nicole Pastva | Nurse Practitioner | 625 E Big Beaver Rd Ste 200, Troy, MI 48083-1434 | 2020-07-03 |
| 1740821958 | Kerri Lyn Outlaw | Nurse Practitioner | 1330 Highway 231 S, Troy, AL 36081-3058 | 2019-09-30 |
| 1003468273 | Kelly Lynne Mack | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2019-07-09 |
| 1487215604 | Michael Franz Dunker | Nurse Practitioner | 550 Summit Ave, Troy, OH 45373-3047 | 2019-06-27 |
| 1811435217 | Laurie Lavin | Nurse Practitioner | 2001 5th Ave, Troy, NY 12180-3482 | 2017-02-06 |
| 1245772292 | Jacquelyn Terry | Nurse Practitioner | 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 | 2016-11-08 |
| 1316329006 | Samantha Lynn Lucca | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2015-06-18 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.