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SHERIDAN PREPARATORY HEALTH CENTER
NPI 1023381100
Clinic/Center - Federally Qualified Health Center (FQHC) in Albany, NY

Active since February 20, 2012CLIA Certified · 4 labs
400 SHERIDAN AVE, ALBANY, NY 12206(518) 465-4771 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sheridan Preparatory Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERIDAN PREPARATORY HEALTH CENTER (NPI 1023381100) is a healthcare organization registered as a federally qualified health center (fqhc) in Albany, New York and active in the NPI registry since February 2012. The organization holds 4 active CLIA laboratory certificates, maintains a secondary practice location in Albany, and lists David Harold Shippee, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1023381100
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWHITNEY M. YOUNG, JR. HEALTH CENTER, INC.
Location Address400 SHERIDAN AVEAlbany, NY 12206-2920
Mailing Address920 Lark Drive, Whitney M. Young Jr. Inc.Albany, NY 12207 · (518) 465-4771 · Fax (518) 242-4770
Phone(518) 465-4771
Organization SubpartYes
Authorized OfficialDavid Harold ShippeePresident & Ceo · (518) 591-4459
Enumeration DateFebruary 20, 2012
Last NPPES UpdateDecember 18, 2018
✔ NPI 1023381100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in NY · 0101205R
400 SHERIDAN AVE, Albany, NY 12206
Open in Google Maps ↗

Other Names 1

Other NameSheridan Preparatory Health Center

Secondary Practice Location 1

Location 1920 Lark Drive, Whitney M. Young Jr. Inc.Albany, NY 12207 · Phone (518) 465-4771 · Fax (518) 242-4770

Other Identifiers 1

Medicaid00473565NY

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0708080

Whitney M Young Jr Health Center Inc · Albany, NY
Active · expires Mar 26, 2027
CLIA Number33D0708080
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 27, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Deborah A. Vasquez
Laboratory Phone(518) 465-4771
Laboratory LocationWhitney M Young Jr Health Center Inc920 Lark Drive, Albany, NY 12207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2078608

Whitney M Young Jr Health Center - Dewitt Street · Albany, NY
Active · expires Mar 26, 2027
CLIA Number33D2078608
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 2, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Deborah A. Vasquez
Laboratory Phone(518) 463-3882
Laboratory LocationWhitney M Young Jr Health Center - Dewitt Street10 Dewitt Street, Albany, NY 12207
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2085151

Whitney M Young Jr Health Center Inc Mobile Health Unit · Albany, NY
Active · expires Mar 26, 2027
CLIA Number33D2085151
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 8, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Deborah A. Vasquez
Laboratory Phone(518) 591-4495
Laboratory LocationWhitney M Young Jr Health Center Inc Mobile Health Unit900 Lark Drive, Albany, NY 12207
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2256195

Whitney M Young Jr Health Center-Swinburne Health Center · Albany, NY
Active · expires Mar 26, 2027
CLIA Number33D2256195
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 22, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Deborah A. Vasquez
Laboratory Phone(518) 591-4559
Laboratory LocationWhitney M Young Jr Health Center-Swinburne Health Center526 Central Ave, Albany, NY 12206
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MONDINI
Social Worker
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6850
GLORIA PURINTON R.N. M.S.N.
Registered Nurse
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6855
MRS. JODI G CAMPBELL MS, CCC-SLP
Speech-Language Pathologist
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6850
TRACEY DALEY-CHOUDHRI
Registered Nurse (School)
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6855
MRS. VICTORIA J. BOLEY-JACKSON LCSWR
Social Worker (Clinical)
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6850
MISS DANIELLE MARY KENNEDY MHC
Counselor (Mental Health)
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6859
MISS MARIE LYNN MCCARG MS, CCC, SLP
Speech-Language Pathologist
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6850
MS. REGINA CALUCCI-PAKOSZ RN
Registered Nurse (School)
400 SHERIDAN AVE
ALBANY, NY 12206
Albany County (518) 475-6855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney M. Young, Jr. Health Center, Inc.'s NPI number?

The NPI number for Whitney M. Young, Jr. Health Center, Inc. is 1023381100. It was assigned to this organization in the NPPES registry on February 20, 2012. The provider is also known as Sheridan Preparatory Health Center.

Where is Whitney M. Young, Jr. Health Center, Inc. located?

Whitney M. Young, Jr. Health Center, Inc. is located at 400 Sheridan Ave, Albany, NY 12206. The listed phone number is (518) 465-4771.

What is Whitney M. Young, Jr. Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Whitney M. Young, Jr. Health Center, Inc. hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Whitney M. Young, Jr. Health Center, Inc. was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.