ST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS
NPI 1003549130
Peer Specialist in Schenectady, NY

Active since July 06, 2022
917 CONGRESS ST, SCHENECTADY, NY 12303(518) 357-8387 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Peer Specialist

About ST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS

This page provides the complete NPI Profile along with additional information for St. Joseph's Addiction Treatment & Recovery Centers, a provider established in Schenectady, New York operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1003549130 assigned on July 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kevin Provost Peer Specialists (Manager)

NPI
1003549130 Verify this NPI
Provider Name
ST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS
Entity Type
Organization
Location Address
917 CONGRESS ST SCHENECTADY, NY 12303
Location Phone
(518) 357-8387
Mailing Address
159 GLENWOOD DR SARANAC LAKE, NY 12983
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-06-2022
Last Update Date
07-06-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN PROVOST PEER SPECIALISTS

Authorized Official Title
MANAGER
Authorized Official Phone
(518) 357-8387

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003549130, enumerated as an "organization" on July 06, 2022.

The provider is located at 917 CONGRESS ST SCHENECTADY, NY 12303 and the phone number is (518) 357-8387.

Peer Specialist with taxonomy code 175T00000X.