CAPITAL DISTRICT PSYCHIATRIC CENTER (NPI# 1144387358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144387358 |
| Entity Type | Organization |
| Organization Name | CAPITAL DISTRICT PSYCHIATRIC CENTER |
| Practice Address |
75 New Scotland Ave Albany NY 12208-3409 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 5184479611 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | ROBERT PUCCIO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | NY | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01618937 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 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 |
| 1124185335 | Capital District Psychiatric Center | Pharmacy | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| Street Address |
75 NEW SCOTLAND AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1225645922 | Joanna Walton | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-09-26 |
| 1033745351 | Pamela Marie Dolacky | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-03-18 |
| 1871129346 | Emilie Valcin Bien-aime | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-03-17 |
| 1184256547 | Jolene Bariteau | Recreational Therapist Assistant | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-04 |
| 1972134476 | Mary Pamberi | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-03 |
| 1164053112 | Jennifer Martin | Dietitian, Registered | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-01-29 |
| 1588200331 | Brianna Wright | Social Worker | 75 New Scotland Ave, Albany, NY 12208-3409 | 2019-11-26 |
| 1891347712 | Monique Stewart | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-11 |
| 1316599384 | Tella Stanfield | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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| 1457543209 | Capital District PC | Health Maintenance Organization | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-08-15 |
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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.