IRECTORHUDSON MOHAWK RECOVERY CENTER


Address: 1724 5th Ave, Troy, NY 12180-3320
Phone: 5182723918

IRECTORHUDSON MOHAWK RECOVERY CENTER (NPI# 1528403102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528403102
Entity Type Organization
Organization Name IRECTORHUDSON MOHAWK RECOVERY CENTER
Practice Address 1724 5th Ave
Troy
NY 12180-3320
Practice Telephone 5182723918
Practice Fax Number 5182726391
Mailing Telephone 5182723918
Mailing Fax Number 5182726391
Enumeration Date 2013-05-08
Last Update Date 2013-05-08
Authorized Official Name MR. THOMAS BENDON (DIRECTOR)
Authorized Official Telephone 5182723918
Authorized Official Credential CASAC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 130510570 NY Agencies

Office Location

Street Address 1724 5TH AVE
City TROY
State NY
Zip Code 12180-3320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851452767 Hudson Mohawk Recovery Center Rehabilitation, Substance Use Disorder Unit 1724 5th Ave, Troy, NY 12180-3320 2006-12-13
1275082562 Hudson Mohawk Recovery Center Inc Clinic/Center 1724 5th Ave, Troy, NY 12180-3541 2016-09-27
1780018200 Samantha Ste.marie Counselor 1724 5th Ave, Troy, NY 12180-3320 2013-09-03
1114359007 Douglas Handy Counselor 1724 5th Ave, Troy, NY 12180-3320 2013-08-02
1568808087 Toni M Cochis Counselor 1724 5th Ave, Troy, NY 12180-3320 2013-05-13
1174969539 Lauren Kelly Counselor 1724 5th Ave, Troy, NY 12180-3320 2013-05-13
1942645551 Sarah E Mcclane Counselor 1724 5th Ave, Troy, NY 12180-3320 2013-05-09
1457796146 Roberto C Dimambro Counselor 1724 5th Ave, Troy, NY 12180-3320 2013-05-08
1114289972 Mary Ann Laverty Counselor 1724 5th Ave, Troy, NY 12180-3320 2012-06-07
1184832776 Craig William Stratton Counselor 1724 5th Ave, Troy, NY 12180-3320 2007-05-18
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407462948 Shawn Muthersbaugh Lcsw Pllc Community/Behavioral Health 120 Defreest Dr Ste 175, Troy, NY 12180-7608 2020-09-21
1831665363 The Village Reintegration Program Community/Behavioral Health 320 Spring Ave Apt 2, Troy, NY 12180-5211 2018-10-23
1134618713 Lifecare & Recovery Community/Behavioral Health 2946 Roundtree Dr, Troy, MI 48083-2347 2018-05-09
1558879270 Life Restoration Counseling & Psychological Services Community/Behavioral Health 525 E Big Beaver Rd Ste 201, Troy, MI 48083-1363 2018-01-16
1235665621 Recovery Counseling Community/Behavioral Health 1423 Leafgreen Dr, Troy, MI 48083-4492 2017-05-04
1689006975 Arab American and Chaldean Council Community/Behavioral Health 363 W Big Beaver Rd Ste 315, Troy, MI 48084-5242 2013-08-08
1104198209 Cross Couseling & Behavioral Health Community/Behavioral Health 1385 Creech School Rd, Troy, MO 63379-5373 2012-02-03
1871899260 Community Helps Network LLC Community/Behavioral Health 122 Bruton St, Troy, NC 27371-2816 2011-02-01
1982831731 Monarch Community/Behavioral Health 321 Taft St, Troy, NC 27371-9752 2009-06-19
1588890784 Russell S. Wolff, Phd Community/Behavioral Health C/o Independent Living Center of The Hudson Valley, 15-17 Third Street, Troy, NY 12180 2009-06-03
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Competitor

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City TROY
Zip Code 12180

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Dataset Information

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.

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