WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. (NPI# 1023381100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023381100 |
| Entity Type | Organization |
| Organization Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Other Organization Name | SHERIDAN PREPARATORY HEALTH CENTER |
| Practice Address |
400 Sheridan Ave Albany NY 12206-2920 |
| Mailing Address |
920 Lark Drive Whitney M. Young Jr. Inc. Albany NY 12207 |
| Practice Telephone | 5184654771 |
| Mailing Telephone | 5184654771 |
| Mailing Fax Number | 5182424770 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | DAVID HAROLD SHIPPEE (PRESIDENT & CEO) |
| Authorized Official Telephone | 5185914459 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0101205R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00473565 | 05 |
| Other Name | Type Code |
|---|---|
| Sheridan Preparatory Health Center | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 Lark Drive, Whitney M. Young Jr. Inc., Albany, NY 12207 | 5184654771 | 5182424770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083864458 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 849 2nd Ave, Troy, NY 12182-2085 | 2008-09-23 |
| 1699256305 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 1245 Hillside Dr, Watervliet, NY 12189-2406 | 2018-08-22 |
| 1144731738 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 900 Lark Dr, Albany, NY 12207-1300 | 2017-10-23 |
| 1689947756 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 676 Clinton Ave, Albany, NY 12206-2216 | 2012-02-20 |
| 1942573027 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 274 S Pearl St, Albany, NY 12202-1829 | 2012-02-20 |
| 1417924762 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 920 Lark Dr, Albany, NY 12207-1300 | 2006-03-07 |
| Street Address |
400 SHERIDAN AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407160005 | Jodi G Campbell | Speech-Language Pathologist | 400 Sheridan Ave, Albany, NY 12206-2920 | 2010-08-06 |
| 1972153963 | Gabrielle Anderson | Counselor | 400 Sheridan Ave, Albany, NY 12206-2920 | 2019-09-12 |
| 1386117240 | Lauren E Blaauboer | Counselor | 400 Sheridan Ave, Albany, NY 12206-2920 | 2019-01-03 |
| 1093208977 | Ashley Mondini | Social Worker | 400 Sheridan Ave, Albany, NY 12206-2920 | 2018-06-14 |
| 1508399288 | Tracey Daley-choudhri | Registered Nurse | 400 Sheridan Ave, Albany, NY 12206-2920 | 2017-04-10 |
| 1700319613 | Regina Calucci-pakosz | Registered Nurse | 400 Sheridan Ave, Albany, NY 12206-2920 | 2017-04-07 |
| 1518363969 | Danielle Mary Kennedy | Counselor | 400 Sheridan Ave, Albany, NY 12206-2920 | 2014-11-12 |
| 1518232883 | Victoria J. Boley-jackson | Social Worker | 400 Sheridan Ave, Albany, NY 12206-2920 | 2012-03-20 |
| 1366711574 | Gloria Purinton | Registered Nurse | 400 Sheridan Ave, Albany, NY 12206-2920 | 2011-12-16 |
| 1659656270 | Marie Lynn Mccarg | Speech-Language Pathologist | 400 Sheridan Ave, Albany, NY 12206-2920 | 2011-10-14 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1770096984 | Cfdshc, Inc | Clinic/Center | 314 South Manning Blvd, Albany, NY 12208-1708 | 2017-11-09 |
| 1942660105 | Whitney M. Young Jr. Health Center, Inc. | Clinic/Center | 10 Dewitt Street, Whitney M. Young Jr. Health Center, Inc., Albany, NY 12207-1300 | 2016-03-02 |
| 1164888491 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct Ste B, Albany, GA 31707-0205 | 2015-12-31 |
| 1902277635 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1700 Cordell Ave, Albany, GA 31705-1497 | 2015-10-07 |
| 1003287731 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1425 W Oakridge Dr, Albany, GA 31707-5306 | 2015-10-07 |
| 1558743005 | Cumberland Family Medical Center, Inc. | Clinic/Center | 65 High School Dr, Albany, KY 42602-8986 | 2015-06-22 |
| 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.