ST. PETER'S ADDICTION RECOVERY CENTER (NPI# 1487975645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487975645 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S ADDICTION RECOVERY CENTER |
| Practice Address |
845 Central Ave South 3 Albany NY 12206-1514 |
| Practice Telephone | 5184822455 |
| Mailing Telephone | 5184822455 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | MRS. MORNINGSTAR VANNIER (SOCIAL WORKER) |
| Authorized Official Telephone | 5184822455 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932386273 | St. Peter's Addiction Recovery Center | Clinic/Center | 50 Remsen St, Cohoes, NY 12047-2605 | 2008-01-29 |
| Street Address |
845 CENTRAL AVE SOUTH 3 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881066256 | Melody Simpson | Counselor | 845 Central Ave, Albany, NY 12206-1514 | 2015-10-26 |
| 1699162404 | St. Peter's Addiction and Recovery Center | Point of Service | 845 Central Ave, Albany, NY 12206-1514 | 2015-04-20 |
| 1093107484 | Amanda Agneta | Counselor | 845 Central Ave, Albany, NY 12206-1514 | 2015-02-23 |
| 1487081568 | Stephanie R Fisher | Counselor | 845 Central Ave, Albany, NY 12206-1514 | 2013-10-03 |
| 1215277975 | Gina Mascali | Counselor | 845 Central Ave, South 3, Albany, NY 12206-1514 | 2013-02-18 |
| 1336484211 | Ashanti Lucas | Counselor | 845 Central Ave, South 3, Albany, NY 12206-1514 | 2012-12-04 |
| 1689944985 | Carla Anne Rodilosso | Social Worker | 845 Central Ave, Albany, NY 12206-1514 | 2012-01-04 |
| 1225315104 | Crystal Erlene Jones | Counselor | 845 Central Ave, South 3, Albany, NY 12206-1514 | 2011-11-07 |
| 1124303052 | Andres Rivera Jr. | Counselor | 845 Central Ave, Albany, NY 12206-1514 | 2011-10-11 |
| 1831479922 | Jeffrey A. Schmidt | Counselor | 845 Central Ave, Albany, NY 12206-1514 | 2011-08-22 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568720027 | Belvedere Health Services | Clinic/Center | 3 City Square Plaza, Albany, NY 12207-2912 | 2012-05-02 |
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| 1487139218 | Thrivee Inc | Clinic/Center | 88 Remsen St, Cohoes, NY 12047-2981 | 2018-09-27 |
| 1972013084 | Professional Counseling Services, Inc | Clinic/Center | 5700 W Genesee St Ste 118, Camillus, NY 13031-3217 | 2017-10-03 |
| 1760831119 | Vasuli Inc | Clinic/Center | 325 W 45th St, 812, New York, NY 10036-4191 | 2016-06-07 |
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
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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.