CAPITAL DISTRICT PSYCHIATRIC CENTER (NPI# 1215382148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215382148 |
| Entity Type | Organization |
| Organization Name | CAPITAL DISTRICT PSYCHIATRIC CENTER |
| Other Organization Name | ALBANY COMMUNITY SUPPORT CENTER |
| Practice Address |
75 New Scotland Ave Albany NY 12208-3409 |
| Practice Telephone | 5185496400 |
| Practice Fax Number | 5185496426 |
| Mailing Telephone | 5185496400 |
| Mailing Fax Number | 5185496426 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | MR. WILLIAM J DICKSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5185496825 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
RO439421 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Albany Community Support Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1598258485 | Capital District Psychiatric Center | Clinic/Center | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-06-14 |
| 1144387358 | Capital District Psychiatric Center | Health Maintenance Organization | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1124185335 | Capital District Psychiatric Center | Pharmacy | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| Street Address |
75 NEW SCOTLAND AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1225645922 | Joanna Walton | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-09-26 |
| 1033745351 | Pamela Marie Dolacky | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-03-18 |
| 1871129346 | Emilie Valcin Bien-aime | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-03-17 |
| 1184256547 | Jolene Bariteau | Recreational Therapist Assistant | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-04 |
| 1972134476 | Mary Pamberi | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-03 |
| 1164053112 | Jennifer Martin | Dietitian, Registered | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-01-29 |
| 1588200331 | Brianna Wright | Social Worker | 75 New Scotland Ave, Albany, NY 12208-3409 | 2019-11-26 |
| 1891347712 | Monique Stewart | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-11 |
| 1316599384 | Tella Stanfield | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320508 | Tom D'agostino Psychology Pllc | Clinic/Center | 5 Pine West Plz Ste 512, Albany, NY 12205-5587 | 2017-11-21 |
| 1851796205 | Dr. Patricia Coughlin | Clinic/Center | 48 Columbia St Ste 2, Albany, NY 12207-2746 | 2014-10-28 |
| 1245399351 | Albany County | Clinic/Center | 260 S Pearl St, Albany, NY 12202-1809 | 2006-12-06 |
| 1952460990 | Albany County Mental Health | Clinic/Center | 260 South Pearl Street, Albany, NY 12202-2011 | 2006-12-06 |
| 1215559125 | New Paradigm Psychological Services | Clinic/Center | 845 Central Ave Ste 1, Albany, NY 12206-1514 | 2020-05-13 |
| 1598258485 | Capital District Psychiatric Center | Clinic/Center | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-06-14 |
| 1184018475 | Gabrielli Gorospe Md Pllc | Clinic/Center | 5 Pine West Plz, Suite 512, Albany, NY 12205-5593 | 2015-03-24 |
| 1609935642 | Albany County Mental Health | Clinic/Center | 175 Green Street, Albany, NY 12202-2011 | 2006-12-06 |
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| 1104430263 | Annmarie Johnson-rowe Np In Psychiatry | Clinic/Center | 14240 249th St, Rosedale, NY 11422-2144 | 2020-09-04 |
| 1700499381 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc | Clinic/Center | 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 | 2020-08-25 |
| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1740810282 | Therapeutic Solutions Ltd | Clinic/Center | 42 Main St Ste 201, Nyack, NY 10960-3204 | 2020-01-23 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1346706793 | North Shore Services | Clinic/Center | 175 E Main St Ste 109, Huntington, NY 11743-2954 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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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.