ST. ANNE INSTITUTE (NPI# 1629243407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629243407 |
Entity Type | Organization |
Organization Name | ST. ANNE INSTITUTE |
Practice Address |
160 N Main Ave Albany NY 12206-1821 |
Practice Telephone | 5184376516 |
Practice Fax Number | 5184376531 |
Mailing Telephone | 5184376516 |
Mailing Fax Number | 5184376531 |
Enumeration Date | 2008-04-23 |
Last Update Date | 2015-04-27 |
Authorized Official Name | MRS. DIANE T MAKECKI (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5184376510 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | RID1B30/VID00A02 | NY | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00353535 | 05 |
Street Address |
160 N MAIN AVE |
City | ALBANY |
State | NY |
Zip Code | 12206-1821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710099239 | Steven Rappaport | Psychiatry & Neurology | 160 N Main Ave, Albany, NY 12206-1821 | 2006-08-31 |
1528619301 | Nancy Marie Buczeksmith | Counselor | 160 N Main Ave, Albany, NY 12206-1821 | 2019-09-24 |
1013473354 | Emily Lezzi | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2019-02-12 |
1740753672 | Kelly Marie Alfano | Social Worker | 160 N Main Ave, Albany, NY 12206-1893 | 2019-01-03 |
1083131551 | Mary Jane Connor | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2017-08-25 |
1316464852 | Jamie Greene | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2017-08-25 |
1104348572 | Sheri Fortin | Counselor | 160 N Main Ave, Albany, NY 12206-1821 | 2017-07-07 |
1336672013 | Brittany Ramos | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2017-04-10 |
1114461126 | Vicki Braunstein | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2016-12-09 |
1164966404 | Laura Elizabeth Buzon | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2016-12-06 |
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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 | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568663078 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1505 Nw Harder Ln, Albany, OR 97321-1522 | 2007-05-31 |
1629289822 | Children's Farm Home | Residential Treatment Facility, Emotionally Disturbed Children | 1024 4th Ave Se, Albany, OR 97321-3107 | 2007-05-27 |
1013372929 | Lasalle School | Residential Treatment Facility, Emotionally Disturbed Children | 391 Western Ave, Albany, NY 12203-1401 | 2015-12-18 |
1649445958 | Lasalle School | Residential Treatment Facility, Emotionally Disturbed Children | 391 Western Ave, Albany, NY 12203-1401 | 2008-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013360361 | Jesse Brand | Residential Treatment Facility, Emotionally Disturbed Children | 60 Forrest Ave, Shirley, NY 11967-1955 | 2016-07-21 |
1285040600 | Sean Bedford | Residential Treatment Facility, Emotionally Disturbed Children | 7 Scarlett Ct, Apt 16, New City, NY 10956-5030 | 2014-07-07 |
1336575703 | Education Plus Corp | Residential Treatment Facility, Emotionally Disturbed Children | 431 Chapel Hill Rd, Hancock, NY 13783-2248 | 2013-09-17 |
1578905212 | Jewish Child Care Association | Residential Treatment Facility, Emotionally Disturbed Children | 671 Osborn St, Brooklyn, NY 11212-5745 | 2013-07-23 |
1538419973 | Scott Fierman Services | Residential Treatment Facility, Emotionally Disturbed Children | 31 Ohayo Mountain Rd, Woodstock, NY 12498-1441 | 2012-09-13 |
1821374448 | Takenya Tanyette Benbow | Residential Treatment Facility, Emotionally Disturbed Children | 135 West 50th Street 6th Floor, Jewish Board of Family and Children Services, New York, NY 10020 | 2011-10-27 |
1720377757 | Lidia Kupiec Lmsw | Residential Treatment Facility, Emotionally Disturbed Children | 178 Bradley Rd, Scarsdale, NY 10583-6343 | 2011-03-30 |
1912202482 | Adirondack Leadership Expeditions | Residential Treatment Facility, Emotionally Disturbed Children | 82 Church St, Saranac Lake, NY 12983-1858 | 2011-01-14 |
1891016192 | Access: Supports for Living Inc | Residential Treatment Facility, Emotionally Disturbed Children | 87 Little Britain Rd, Newburgh, NY 12550-5113 | 2010-06-21 |
1356675151 | Ohel Childrens Home & Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1498 E 34 St, Brooklyn, NY 11234 | 2009-09-25 |
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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.