ST. PETER'S HOSPITAL OF THE CITY OF ALBANY (NPI# 1669698601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669698601 |
| 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 |
64 2nd Avenue Albany NY 12202-1240 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184495170 |
| Enumeration Date | 2007-04-18 |
| 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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0101004H | NY | Ambulatory Health Care Facilities |
| 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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| 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 |
| 1598982548 | St. Peter's Hospital of The City of Albany | Family Medicine | 125 High Rock Ave, Saratoga Springs, NY 12866-2307 | 2007-04-19 |
| 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 |
64 2ND AVENUE |
| City | ALBANY |
| State | NY |
| Zip Code | 12202-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295091114 | Juan Jose Santacruz | Counselor | 64 2nd Avenue, Albany, NY 12202 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497282131 | Beth Laddin | Social Worker | Thomas O'brien Academy of Science and Technology School, Lincoln Park/ Delaware Ave, Albany, NY 12202 | 2017-05-12 |
| 1326448275 | Trinity Alliance of The Capital Region | Substance Abuse Rehabilitation Facility | 3 Lincoln Square, Albany, NY 12202 | 2014-08-28 |
| 1053558205 | Thomas Edward Clark | Student in an Organized Health Care Education/Training Program | 980 Western Avenue, Albany, NY 12202 | 2009-01-09 |
| 1609992478 | Margaret E Priola | Registered Nurse | 326 So Pearl Street, St. Peter's Family Health Center, Albany, NY 12202 | 2007-03-22 |
| 1770637092 | City School District of Albany | Local Education Agency (LEA) | 1 Academy Park, Elk Street, Albany, NY 12202 | 2007-01-23 |
| 1023533460 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 S Pearl St, Albany, NY 12202 | 2017-08-07 |
| 1952821118 | Helen Theresa Mcdonald | Family Medicine | 326 S Pearl St, Albany, NY 12202 | 2017-06-20 |
| 1619320686 | Elizabeth Carcich | Social Worker | 260 South Pearl Street, Albany, NY 12202 | 2016-07-14 |
| 1619307535 | Karen Johnson-williams | Social Worker | 105 Mount Hope Dr, Albany, NY 12202-1009 | 2013-11-13 |
| 1740357995 | Center for Disablity Services | Non-emergency Medical Transport (VAN) | 700 S Pearl St, Albany, NY 12202-1013 | 2006-11-30 |
| Find all providers in zip 12202 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826856 | Lakisha Denise Hunt | Psychiatry & Neurology | 1316 Montego Ct, Albany, GA 31705-8015 | 2020-03-21 |
| 1154957728 | Germane & Wise Mental Health Services Consulting LLC | Psychiatry & Neurology | 321 1st Ave Ne Ste 3c, Albany, OR 97321-2794 | 2020-03-16 |
| 1952896987 | Peter Frederick Andrus | Psychiatry & Neurology | 6211 Guildford House Apt 5, Albany, NY 12203-4511 | 2018-06-22 |
| 1407366057 | Dr Kevin George, Incorporated | Psychiatry & Neurology | 1510 Central Ave Ste 375, Albany, NY 12205-5094 | 2017-10-10 |
| 1558882530 | Patton Medical of New York PC | Psychiatry & Neurology | 344 Torquay Blvd, Albany, NY 12203-4960 | 2017-06-29 |
| 1689068967 | Serenity Mccarthy-arnone | Psychiatry & Neurology | 113 Holland Ave # 116a, Albany, NY 12208-3410 | 2015-03-24 |
| 1023376654 | Good Samaritan Hospital Corvallis | Psychiatry & Neurology | 1052 29th Avenue Sw, Albany, OR 97321-3416 | 2012-05-02 |
| 1831333251 | Jill Patton | Psychiatry & Neurology | 1971 Western Ave # 257, Albany, NY 12203-5066 | 2009-04-29 |
| 1922260371 | Myo Win Kyaw | Psychiatry & Neurology | 143 Lincoln Ave Fl 1, Albany, NY 12206-1402 | 2008-06-26 |
| 1992970289 | Smitha Battula | Psychiatry & Neurology | 2734 Ledo Road, Suite 12, Albany, GA 31707 | 2008-04-28 |
| 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.