DR. PATRICIA COUGHLIN (NPI# 1851796205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851796205 |
| Entity Type | Organization |
| Organization Name | DR. PATRICIA COUGHLIN |
| Practice Address |
48 Columbia St Ste 2 Albany NY 12207-2746 |
| Practice Telephone | 5188593960 |
| Mailing Telephone | 5188593960 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | DR. PATRICIA COUGHLIN (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5188593960 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
010001 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE LICENSE | 010001 | 01 |
| Street Address |
48 COLUMBIA ST STE 2 |
| City | ALBANY |
| State | NY |
| Zip Code | 12207-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
| 1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
| 1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
| 1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
| 1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
| 1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
| 1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
| Find all providers in zip 12207 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1245399351 | Albany County | Clinic/Center | 260 S Pearl St, Albany, NY 12202-1809 | 2006-12-06 |
| 1952460990 | Albany County Mental Health | Clinic/Center | 260 South Pearl Street, Albany, NY 12202-2011 | 2006-12-06 |
| 1215559125 | New Paradigm Psychological Services | Clinic/Center | 845 Central Ave Ste 1, Albany, NY 12206-1514 | 2020-05-13 |
| 1598258485 | Capital District Psychiatric Center | Clinic/Center | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-06-14 |
| 1215382148 | Capital District Psychiatric Center | Clinic/Center | 75 New Scotland Ave, Albany, NY 12208-3409 | 2016-04-28 |
| 1184018475 | Gabrielli Gorospe Md Pllc | Clinic/Center | 5 Pine West Plz, Suite 512, Albany, NY 12205-5593 | 2015-03-24 |
| 1609935642 | Albany County Mental Health | Clinic/Center | 175 Green Street, Albany, NY 12202-2011 | 2006-12-06 |
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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.