WHITNEY YOUNG HEALTH
NPI 1073960100
Clinic/Center - Federally Qualified Health Center (FQHC) in Watervliet, NY
About Whitney Young Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITNEY YOUNG HEALTH (NPI 1073960100) is a healthcare organization registered as a federally qualified health center (fqhc) in Watervliet, New York and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates and lists Mary Connolly, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Whitney Young Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Whitney Young Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 28Slingerlands, NY 12159
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 33D2112206
Whitney M Young Jr Health Center - Watervliet Ny · Watervliet, NYCertificate of Waiver 33D2056694
Whitney M Young Jr Troy Health Center · Troy, NYFrequently 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 1073960100. It was assigned to this organization in the NPPES registry on May 18, 2016. The provider is also known as Whitney Young Health.
Where is Whitney M Young Jr. Health Center, Inc located?
Whitney M Young Jr. Health Center, Inc is located at 1804 2nd Ave, Watervliet, NY 12189. The listed phone number is (518) 833-6900.
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.
Is Whitney M Young Jr. Health Center, Inc enrolled in Medicare?
Yes. Whitney M Young Jr. Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Whitney M Young Jr. Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 11 Medicare specialties reassign their Medicare billing to Whitney M Young Jr. Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (4), Nurse Practitioner (4) and Pediatric Medicine (4). Of these, 1 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Whitney M Young Jr. Health Center, Inc hold CLIA laboratory certificates?
Yes. 2 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 June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Whitney Young Health · NPI 1073960100
Federally Qualified Health Center (FQHC) organization in Watervliet, New York. Organization record, active in the CMS NPPES registry since May 18, 2016.
## Identity
- **NPI:** 1073960100 (Entity type: Organization)
- **Enumerated:** May 18, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Whitney M Young Jr. Health Center, Inc
- **Organization subpart:** No
- **Authorized official:** Mary Connolly, CFO
## Practice location
- **Address:** 1804 2ND AVE, Watervliet, NY 12189-2818
- **Phone:** (518) 833-6900 · **Fax:** (518) 833-6919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (4), Nurse Practitioner (4), Pediatric Medicine (4); 1 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1073960100/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2017
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073960100) · Data from the CMS NPPES public registry.