ST. PETER'S HOSPITAL OF THE CITY OF ALBANY (NPI# 1598982548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598982548 |
Entity Type | Organization |
Organization Name | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY |
Other Organization Name | ST. PETER'S ADDICTION RECOVERY CENTER |
Practice Address |
125 High Rock Ave Saratoga Springs NY 12866-2307 |
Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
Practice Telephone | 5188856884 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2019-12-30 |
Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
Authorized Official Telephone | 5185255634 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 282N00000X | General Acute Care Hospital | 0101004H | NY | Hospitals |
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0101004H | NY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SPARC | Other Name - Individual/Organization |
St. Peter's Addiction Recovery Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245682442 | St. Peter's Hospital of The City of Albany | Nurse Practitioner | 1 Pine West Plaza, Washington Ave Ext., Suite 101, Albany, NY 12205-5537 | 2016-07-12 |
1194943670 | St. Peter's Hospital of The City of Albany | General Acute Care Hospital | 636 New Loudon Road, Latham, NY 12110-4002 | 2007-04-23 |
1669698601 | St. Peter's Hospital of The City of Albany | Family Medicine | 64 2nd Avenue, Albany, NY 12202-1240 | 2007-04-18 |
1487725750 | St. Peter's Hospital of The City of Albany | Family Medicine | 53 Columbia Street, Rensselaer, NY 12144-2933 | 2006-11-10 |
1689184830 | St. Peter's Hospital of The City of Albany | Family Medicine | 315 South Manning Blvd, Labor and Delivery, Albany, NY 12208-1707 | 2017-10-02 |
1982141537 | St. Peter's Hospital of The City of Albany | Psychologist | 315 South Manning Blvd, Albany, NY 12208-1707 | 2017-01-20 |
1144407024 | St. Peter's Hospital of The City of Albany | Physician Assistant | 317 South Manning Blvd, Suite 220, Albany, NY 12208-1738 | 2008-01-23 |
1265508659 | St. Peter's Hospital of The City of Albany | Nurse Practitioner | 315 South Manning Blvd, Albany, NY 12208-1707 | 2006-11-28 |
1548336936 | St. Peter's Hospital of The City of Albany | Obstetrics & Gynecology | 1240 New Scotland Road, Slingerlands, NY 12159-9276 | 2006-11-28 |
1073686069 | St. Peter's Hospital of The City of Albany | Family Medicine | 1240 New Scotland Road, Suite 100, Slingerlands, NY 12159-9221 | 2006-11-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY | 315 S Manning Blvd, Albany, NY 12208-1707 |
New York State Corporations | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY | 28 Liberty Street, New York, New York 10005 |
Street Address |
125 HIGH ROCK AVE |
City | SARATOGA SPRINGS |
State | NY |
Zip Code | 12866-2307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183210 | Casey Anne Schofield | Psychologist | 125 High Rock Ave, Saratoga Springs, NY 12866-2307 | 2020-01-08 |
1821657727 | Holly Elizabeth Luciano | Social Worker | 125 High Rock Ave, Sparc, Saratoga Springs, NY 12866 | 2019-06-13 |
1508399098 | Saratoga Towncar | Taxi | 125 High Rock Ave, Saratoga Springs, NY 12866-2307 | 2017-04-11 |
1619413804 | Stephanie Oakley | Counselor | 125 High Rock Ave, Saratoga Springs, NY 12866-2307 | 2017-01-11 |
1033585153 | Eamon Mahoney | Private Vehicle | 125 High Rock Ave, Suite 104, Saratoga Springs, NY 12866-2307 | 2015-08-12 |
1285070847 | Audrey J Pape | Counselor | 125 High Rock Ave, Saratoga Springs, NY 12866-2307 | 2013-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
Find all providers in zip 12866 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356779839 | Holly Luciano | Clinic/Center | 125 High Rock Avenue, Saratoga Springs, NY 12866 | 2013-10-21 |
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Find all providers with the same taxonomy |
City | SARATOGA SPRINGS |
Zip Code | 12866 |
Please comment or provide details below to improve the information on ST. PETER'S HOSPITAL OF THE CITY OF ALBANY.
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.