PINE BUSH MENTAL HEALTH, LLP (NPI# 1962572362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962572362 |
| Entity Type | Organization |
| Organization Name | PINE BUSH MENTAL HEALTH, LLP |
| Practice Address |
1a Pine West Plz Albany NY 12205-5556 |
| Practice Telephone | 5188621665 |
| Practice Fax Number | 5188621668 |
| Mailing Telephone | 5188621665 |
| Mailing Fax Number | 5188621668 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PATRICIA POLANIK MILLER (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 5188621665 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
014323 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1A PINE WEST PLZ |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-5556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215344 | Steven David Kronick | Psychiatry & Neurology | 1a Pine West Plz, Albany, NY 12205-5556 | 2005-09-13 |
| 1174647085 | M. Katherine Kennedy | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2007-03-17 |
| 1891823472 | Rose Judith Capurso | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2007-03-02 |
| 1831257740 | Patricia Polanik Miller | Psychologist | 1a Pine West Plz, Pine Bush Mental Health, LLP, Albany, NY 12205-5556 | 2006-12-04 |
| 1013091693 | Howard H Ferrin | Psychologist | 1a Pine West Plz, Pine Bush Mental Health, Albany, NY 12205-5556 | 2006-10-24 |
| 1740397488 | Rhonda K B Landis | Psychologist | 1a Pine West Plz, Albany, NY 12205-5557 | 2006-08-25 |
| 1023032091 | Edith Hahn Lundquist | Registered Nurse | 1a Pine West Plz, Albany, NY 12205-5557 | 2006-07-26 |
| 1699700666 | Michael V Ellis | Psychologist | 1a Pine West Plz, Albany, NY 12205-5557 | 2006-07-11 |
| 1609840107 | Susan A Ross | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2006-02-14 |
| 1053398453 | Frederick James Smith | Psychologist | 1a Pine West Plz, Albany, NY 12205-5556 | 2005-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867314 | Sheri Lynn Mainquist | Psychologist | 850 Stannage Ave Apt 5, Albany, CA 94706-1642 | 2020-06-25 |
| 1528687399 | Rachel Magin | Psychologist | 2 Clara Barton Dr # Mc164, Albany, NY 12208-3472 | 2020-04-13 |
| 1346707270 | Matthew Golley | Psychologist | Samuel S. Stratton Vamc, 113 Holland Avenue, Albany, NY 12208 | 2019-02-27 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1013417286 | Linda Renee Bockheim | Psychologist | 425 2nd Ave Sw Ste 204, Albany, OR 97321-2485 | 2018-02-14 |
| 1700384468 | G.h. Wilber, Psy.d., Pllc | Psychologist | 5 Pine West Plz Ste 511, Albany, NY 12205-5587 | 2018-01-29 |
| 1447775200 | Heidi Rochelle Wright | Psychologist | 1365 Washington Ave Ste 102a, Albany, NY 12206-1098 | 2017-08-13 |
| 1366995508 | Supriya Blair | Psychologist | 1 Ten Broeck St Ste 1, Albany, NY 12210-2521 | 2016-07-24 |
| 1225411341 | Bradley Biggsphd Psychologist P.C. | Psychologist | 142 N Allen St, Suite C, Albany, NY 12206-1700 | 2015-07-07 |
| 1215339171 | Mary Kathleen O'neill | Psychologist | 314 South Manning Blvd., Albany, NY 12208 | 2014-09-23 |
| 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.