ST. PETER'S HEALTH CARE (NPI# 1659443000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659443000 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HEALTH CARE |
| Practice Address |
636 New Loudon Rd Latham NY 12110-4002 |
| Practice Telephone | 5187835381 |
| Practice Fax Number | 5187830125 |
| Mailing Telephone | 5187835381 |
| Mailing Fax Number | 5187830125 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA L. COLE (SENIOR COUNSELOR) |
| Authorized Official Telephone | 5187835381 |
| Authorized Official Credential | CASAC, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 000764 | NY | Hospital Units |
| Street Address |
636 NEW LOUDON RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619228582 | Phillip Jason Lucien | Community Health Worker | 636 New Loudon Rd, Latham, NY 12110-4002 | 2012-10-02 |
| 1669796017 | Terra Sentiwany Stone | Social Worker | 636 New Loudon Rd, Latham, NY 12110-4002 | 2010-03-15 |
| 1801118401 | David White | Counselor | 636 New Loudon Rd, Latham, NY 12110-4002 | 2010-02-23 |
| 1942530183 | Chad Edward Putman | Social Worker | 636 New Loudon Rd, Latham, NY 12110-4002 | 2010-01-11 |
| 1538300462 | Sparc Latham | Case Management | 636 New Loudon Rd, Latham, NY 12110-4002 | 2009-03-24 |
| 1407097389 | St. Peters Addiction Recovery Center | Case Management | 636 New Loudon Rd, Latham, NY 12110-4002 | 2009-03-23 |
| 1700025483 | William J Bean Sr. | Counselor | 636 New Loudon Rd, Latham, NY 12110-4002 | 2009-02-19 |
| 1588834766 | Matthew R. Manell | Counselor | 636 New Loudon Rd, Latham, NY 12110-4002 | 2008-03-04 |
| 1538352463 | Amanda Lee Weller | Counselor | 636 New Loudon Rd, Latham, NY 12110-4002 | 2007-08-23 |
| 1184837239 | Charles Figel | Counselor | 636 New Loudon Rd, Latham, NY 12110-4002 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1285170514 | Mount Sinai Beth Isreal | Rehabilitation, Substance Use Disorder Unit | 429-35 Second Avenue, Ny, NY 10010-3101 | 2017-01-10 |
| 1760651855 | The Kingston Hospital | Rehabilitation, Substance Use Disorder Unit | 2 Barbarosa Ln, Kingston, NY 12401-1220 | 2008-02-22 |
| 1851452767 | Hudson Mohawk Recovery Center | Rehabilitation, Substance Use Disorder Unit | 1724 5th Ave, Troy, NY 12180-3320 | 2006-12-13 |
| 1740366806 | Kings County Hospital Center | Rehabilitation, Substance Use Disorder Unit | 21-49-46 Street, Astoria, NY 11105 | 2006-10-31 |
| 1417940719 | Delaware Valley Hospital, Inc | Rehabilitation, Substance Use Disorder Unit | 1 Titus Pl, Walton, NY 13856-1457 | 2005-08-23 |
| 1568023687 | Upmc Chautauqua At Wca | Rehabilitation, Substance Use Disorder Unit | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2019-06-28 |
| 1811368368 | The St. Lukes Roosevelt Hospital Center | Rehabilitation, Substance Use Disorder Unit | 440 W 114th St, New York, NY 10025-1796 | 2015-10-09 |
| 1356754857 | St Lukes Hospital | Rehabilitation, Substance Use Disorder Unit | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2014-06-03 |
| 1992069967 | Brooklyn Hospital Center | Rehabilitation, Substance Use Disorder Unit | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2012-06-25 |
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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.