ALBANY AREA COMMUNITY SERVICE BOARD (NPI# 1619006038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619006038 |
| Entity Type | Organization |
| Organization Name | ALBANY AREA COMMUNITY SERVICE BOARD |
| Other Organization Name | ALBANY AREA MENTAL HEALTH PHARMACY |
| Practice Address |
601 West 11th Avenue Albany GA 31701 |
| Mailing Address |
Po Box 1988 Albany GA 31702-1988 |
| Practice Telephone | 2294306070 |
| Practice Fax Number | 2294306076 |
| Mailing Telephone | 2294306070 |
| Mailing Fax Number | 2294306076 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | MRS. MARY F HUDSON (PHARMACIST / PHARMACY DIRECTOR) |
| Authorized Official Telephone | 2294306070 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | ALBANY AREA COMMUNITY SERVICE BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PHRE004577 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Albany Area Mental Health Pharmacy | Doing Business As Name - Organization |
| Street Address |
601 WEST 11TH AVENUE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750841599 | Kimberly Lashaun Anthony | Community/Behavioral Health | 1517 Lily Pond Rd, Albany, GA 31701-7771 | 2019-03-20 |
| 1285101113 | Chasity S Wright | Community/Behavioral Health | 10151 N Reynard Rd, Albany, IN 47320-9107 | 2018-10-29 |
| 1356821375 | Behaviorway, Inc. | Community/Behavioral Health | 805 Kinkead Way Apt 101, Albany, CA 94706-2636 | 2018-08-20 |
| 1770012288 | Mental Health Association In New York State, Inc. | Community/Behavioral Health | 194 Washington Ave Ste 415, Albany, NY 12210-2314 | 2017-06-08 |
| 1225413610 | Mental Health Empowerment Project, Inc. | Community/Behavioral Health | 3 Atrium Dr Ste 205, Albany, NY 12205-1483 | 2015-07-27 |
| 1154700896 | Burroughs & Jones Counseling and Consulting, LLC | Community/Behavioral Health | 1216 Dawson Rd Ste 110, Burroughs & Jones Counseling and Consulting, LLC, Albany, GA 31707-3800 | 2015-05-27 |
| 1861899759 | Ivy Houses | Community/Behavioral Health | 627 W Highland Ave, Albany, GA 31701-2757 | 2014-11-21 |
| 1548670664 | Holistic Health Systems Inc | Community/Behavioral Health | 345 W Broad Ave Ste 105, Albany, GA 31701-2673 | 2014-04-28 |
| 1548682677 | Doing Good Again LLC | Community/Behavioral Health | 2423 W Alberson Dr, Albany, GA 31721-2025 | 2014-01-08 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 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.