NYSOMH/CAPITAL DISTRICT PSYCHIATRIC CENTER (NPI# 1841304284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841304284 |
| Entity Type | Organization |
| Organization Name | NYSOMH/CAPITAL DISTRICT PSYCHIATRIC CENTER |
| Practice Address |
175 Central Ave Albany NY 12206-2937 |
| Practice Telephone | 5184364462 |
| Practice Fax Number | 5184364558 |
| Mailing Telephone | 5184364462 |
| Mailing Fax Number | 5184364558 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHIRLEY STALEY (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 5184479611 |
| Authorized Official Credential | MS NPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | 400371 | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02341335 | 05 |
| Street Address |
175 CENTRAL AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730676107 | Carla Billey | Social Worker | 175 Central Ave, Albany, NY 12206-2937 | 2018-04-20 |
| 1982124251 | Sheila Pittman | Counselor | 175 Central Ave, Albany, NY 12206-2937 | 2017-06-27 |
| 1023538352 | Dorene Bynoe | Counselor | 175 Central Ave, Albany, NY 12206-2937 | 2017-06-27 |
| 1285154567 | Jessica Carmel | Counselor | 175 Central Ave, Albany, NY 12206-2937 | 2017-06-27 |
| 1659757680 | Victoria Erno | Counselor | 175 Central Ave, Albany, NY 12206-2937 | 2015-07-31 |
| 1942686977 | Joseph Skinner | Counselor | 175 Central Ave, Albany, NY 12206-2937 | 2015-07-31 |
| 1922482793 | Jasmine Guerrero-wiggs | Counselor | 175 Central Ave, Albany, NY 12206-2937 | 2015-07-12 |
| 1063781060 | Darlene A Ieronimo | Social Worker | 175 Central Ave, Albany, NY 12206-2937 | 2011-12-20 |
| 1104141191 | Josephine Z Culkin | Registered Nurse | 175 Central Ave, Albany, NY 12206-2937 | 2010-04-01 |
| 1811212806 | Kimberly Joan Spears | Licensed Practical Nurse | 175 Central Ave, Albany County Support Center, Albany, NY 12206-2937 | 2010-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164956140 | Arnot Health | Chronic Disease Hospital | 2065 Van Hoesen Ave, Bronx, NY 10461 | 2017-04-17 |
| 1689126864 | Health Quest | Chronic Disease Hospital | 8 Kingston Ave, Poughkeepsie, NY 12603-3402 | 2016-11-03 |
| 1942667340 | Montefiore Medical Center | Chronic Disease Hospital | 3400 Bainbridge Mmc, Bronx, NY 10467-2404 | 2016-01-15 |
| 1386000644 | Comperhensive Promary Family Medical Care of Ny Pllc | Chronic Disease Hospital | 1319 Cornaga Ave Fl 1, Far Rockaway, NY 11691-5004 | 2016-01-01 |
| 1699179846 | Alanna Barak | Chronic Disease Hospital | 120 West 97th St Apt 7b, Manhattan, NY 10025 | 2014-10-17 |
| 1417363847 | Grace Oluwatoyin Okolonji | Chronic Disease Hospital | 9027 149th St, Apt G3, Jamaica, NY 11435-3958 | 2014-07-07 |
| 1003158304 | The Mount Sinai Medical Center | Chronic Disease Hospital | 1468 Madison Ave Fl 15, Box1194 Pathology Residency Program, New York, NY 10029-6508 | 2013-03-25 |
| 1689959470 | Mohammad Azmal Yousuf | Chronic Disease Hospital | 114 Albemarle Rd, Apt. #c10, Brooklyn, NY 11218-2328 | 2011-10-12 |
| 1629365580 | Montefiore Medical Center | Chronic Disease Hospital | 1512 Library Ave, Bronx, NY 10465-1110 | 2011-06-29 |
| 1740576065 | Syeda Shazia Asad | Chronic Disease Hospital | 26330 74th Ave Apt D8, Glen Oaks, NY 11004-1176 | 2011-06-24 |
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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.