SUNY POTSDAM STUDENT HEALTH SERVICES (NPI# 1679660336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679660336 |
| Entity Type | Organization |
| Organization Name | SUNY POTSDAM STUDENT HEALTH SERVICES |
| Practice Address |
44 Pierrepont Ave Student Health Services Potsdam NY 13676-2200 |
| Mailing Address |
44 Pierrepont Ave Potsdam NY 13676-2200 |
| Practice Telephone | 3152672377 |
| Mailing Telephone | 3152672377 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARILYN BARTLETT DOELGER (DIRECTOR OF STUDENT HEALTH SERVICES) |
| Authorized Official Telephone | 3152672377 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
261QS1000X | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 301038 | 01 |
| NY | LICENSE NUMBER | 106764 | 01 |
| NY | LICENSE NUMBER | 334042 | 01 |
| NY | LICENSE NUMBER | 301604 | 01 |
| Street Address |
44 PIERREPONT AVE STUDENT HEALTH SERVICES |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770500696 | Heather Anne Pike | Specialist/Technologist | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-07-16 |
| 1033601976 | Alexandra Berking | Specialist/Technologist | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2018-06-06 |
| 1669896171 | Brandi K. Kelley | Social Worker | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2014-02-05 |
| 1083948376 | Kristine Elizabeth Johnson | Specialist/Technologist | 44 Pierrepont Ave, Potsdam, NY 13676 | 2009-09-20 |
| 1487706917 | Suny Potsdam | Clinic/Center | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2007-01-17 |
| 1952480709 | Tracy Harcourt | Nurse Practitioner | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-11-03 |
| 1780767129 | Richard W. Williams | Psychologist | 44 Pierrepont Ave, Flagg 153, Potsdam, NY 13676-2200 | 2006-10-21 |
| 1588751192 | Mary Elizabeth Rosenfeld | Nurse Practitioner | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-10-06 |
| 1093726523 | Richard Moose | Emergency Medicine | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487706917 | Suny Potsdam | Clinic/Center | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893371 | Manreet Kaur | Clinic/Center | 6140 166th St, Flushing, NY 11365-2165 | 2020-05-28 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1528611084 | Hudson Headwaters Health Network | Clinic/Center | 27 Hyland Dr, Lake Luzerne, NY 12846-3923 | 2019-07-23 |
| 1639635535 | Montefiore Medical Center | Clinic/Center | 1619 Boston Rd, Bronx, NY 10460-4945 | 2019-02-15 |
| 1316412513 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, Room 108, Bronx, NY 10457 | 2018-10-04 |
| 1902392749 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 | 2018-07-05 |
| 1700372687 | Montefiore Medical Center | Clinic/Center | 456 White Plains Rd, Bronx, NY 10473-2436 | 2018-07-03 |
| 1477040566 | Montefiore Medical Center | Clinic/Center | 3710 Barnes Ave, Bronx, NY 10467-5808 | 2018-04-16 |
| 1699287920 | Montefiore Medical Center | Clinic/Center | 1002 Teller Ave, Bronx, NY 10456-6105 | 2017-10-26 |
| 1093253163 | Una Jane Victoria Allen | Clinic/Center | 2811 Queens Plz N # 402, Long Island City, NY 11101-4008 | 2017-02-08 |
| 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.