SAGE COLLEGE WELLNESS CENTER - ALBANY (NPI# 1366847246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366847246 |
| Entity Type | Organization |
| Organization Name | SAGE COLLEGE WELLNESS CENTER - ALBANY |
| Practice Address |
140 Nw Scotland Ave Albany NY 12208 |
| Mailing Address |
65 1st St Troy NY 12180 |
| Practice Telephone | 5182921917 |
| Mailing Telephone | 5182921917 |
| Mailing Fax Number | 5182921918 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | STACEY THAYER (DIRECTOR WELLNESS CENT) |
| Authorized Official Telephone | 5182921934 |
| 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 |
140 NW SCOTLAND AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513557 | Sabrina Powell-cobb | Nurse Practitioner | 2304 W Gordon Ave Apt 122, Albany, GA 31707-4602 | 2019-05-14 |
| 1285133603 | Patricia Hayden Schiller | Nurse Practitioner | 16 Computer Dr W Ste 103, Albany, NY 12205-1624 | 2018-02-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1598918161 | Maureen Mary Masterson | Nurse Practitioner | 75 New Scotland Avenue, Capital District Psychiatric Center, Albany, NY 12208-3409 | 2008-10-28 |
| 1760539357 | Penny Lee Stute | Nurse Practitioner | 3311 Madison St Se, Albany, OR 97322-4151 | 2007-01-04 |
| 1801961669 | Marilyn Anne Vondollen | Nurse Practitioner | 1471 Western Ave, Albany, NY 12203-3512 | 2006-11-21 |
| 1780631341 | Lisa Zawalski | Nurse Practitioner | 1 Pinnacle Place Suite 102, Pinnacle Behavioral Health, Albany, NY 12203-3001 | 2006-05-28 |
| 1790306579 | Katherine Rose Hiles | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-05-03 |
| 1982246310 | Jennifer Marsden Kekis | Nurse Practitioner | 260 S Pearl St, Albany, NY 12202-1809 | 2019-10-17 |
| 1366912537 | Taylor Gamble | Nurse Practitioner | 601 11th Ave, Albany, GA 31701-1645 | 2018-11-30 |
| Find all providers in ALBANY | ||||
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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.