SAMARITAN HOSPITAL OF TROY, NEW YORK (NPI# 1861437832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861437832 |
| Entity Type | Organization |
| Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Other Organization Name | SAMARITAN BEHAVIORAL HEALTH |
| Practice Address |
2215 Burdett Ave Troy NY 12180 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5182713300 |
| Practice Fax Number | 5184713254 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | MS. LORI SANTOS (CFO) |
| Authorized Official Telephone | 5185255537 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 282N00000X | General Acute Care Hospital | 4102002H | Hospitals | |
| Y | 273R00000X | Psychiatric Unit | 4102002H | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00318805 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan Behavioral Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1780168740 | Samaritan Hospital of Troy, New York | Family Medicine | 2 Empire Drive, Suite 100, Rensselaer, NY 12144-5730 | 2018-09-17 |
| 1770067738 | Samaritan Hospital of Troy, New York | Clinic/Center | 147 Hoosick St Ste E, Troy, NY 12180-2393 | 2018-09-17 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1912480971 | Samaritan Hospital of Troy, New York | Family Medicine | 1111 Hudson Avenue, Stillwater, NY 12170-3439 | 2018-09-14 |
| 1790120368 | Samaritan Hospital of Troy, New York | Nutritionist | 158 Saratoga Avenue, Waterford, NY 12188-2205 | 2013-05-08 |
| 1265086789 | Samaritan Hospital of Troy, New York | Family Medicine | 63 Shaker Road, Suite G02, Albany, NY 12204 | 2019-08-01 |
| 1457812877 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, St. Peter's Family Medicine, Clifton Park, NY 12065 | 2019-03-28 |
| 1134603194 | Samaritan Hospital of Troy, New York | Internal Medicine | 1401 Massachusetts Avenue, Troy, NY 12180-1621 | 2018-09-17 |
| 1124502182 | Samaritan Hospital of Troy, New York | Midwife | 2 Empire Drive, Suite 101, Rensselaer, NY 12144-5730 | 2018-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL OF TROY, NEW YORK | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Street Address |
2215 BURDETT AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770583619 | Kakulavaram Venkat Reddy | Radiology | 2215 Burdett Ave, Samaritian Hospital Cancer Care Center, Troy, NY 12180-2466 | 2005-07-21 |
| 1356959316 | Daniel Grant Pecan | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2475 | 2020-07-16 |
| 1902424443 | Amanda Marie Benacquisto | Registered Nurse | 2215 Burdett Ave, Troy, NY 12180-2466 | 2020-07-10 |
| 1013540855 | Renee C Sanderson | Physical Therapist | 2215 Burdett Ave, Troy, NY 12180-2466 | 2020-02-20 |
| 1013540194 | Jessica S Zahner | Occupational Therapist | 2215 Burdett Ave, Troy, NY 12180-2466 | 2020-02-18 |
| 1932731718 | Catherine Berrian Smith | Physical Therapist | 2215 Burdett Ave, Troy, NY 12180-2466 | 2020-02-10 |
| 1053941609 | Paula Jean Burnor | Physical Therapist | 2215 Burdett Ave, Troy, NY 12180-2466 | 2020-01-23 |
| 1811527724 | Jennifer Musone Singer | Pharmacist | 2215 Burdett Ave, Troy, NY 12180-2466 | 2020-01-20 |
| 1700423951 | Rose Anne Mason | Registered Nurse | 2215 Burdett Ave, Troy, NY 12180-2466 | 2019-12-06 |
| 1164064275 | Joan Marie Killeen | Registered Nurse | 2215 Burdett Ave, Troy, NY 12180-2466 | 2019-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548787286 | The Troy Hospital Health Care Authority | Psychiatric Unit | 1330 Highway 231 S, Troy, AL 36081-3058 | 2017-08-24 |
| 1154605632 | Samaritan Hospital | Psychiatric Unit | 122 1st St, 3e, Troy, NY 12180-4430 | 2011-10-03 |
| 1194733121 | Upper Valley Medical Center | Psychiatric Unit | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
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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.