CAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC
NPI 1215152962
Psychologist - Clinical in Latham, NY

Active since April 16, 2007
20 CENTURY HILL DRIVE, SUITE 202, LATHAM, NY 12110(518) 785-7283(518) 785-7293 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Capital District Behavioral Health Psychologists, Pllc NPPES

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

CAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC (NPI 1215152962) is a healthcare organization registered as a clinical in Latham, New York and active in the NPI registry since April 2007. The organization lists Nancy L Nicholson, Partner, as its authorized official.

NPPES Registry Identity

NPI1215152962
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC
Location Address20 CENTURY HILL DRIVE, SUITE 202Latham, NY 12110
Mailing Address20 Century Hill Drive, Suite 202Latham, NY 12110 · (518) 785-7283 · Fax (518) 785-7293
Fax(518) 785-7293
Organization SubpartNo
Authorized OfficialNancy L NicholsonPartner · (518) 785-7283
Enumeration DateApril 16, 2007
Last NPPES UpdateMay 31, 2016
✔ NPI 1215152962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 012019
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
20 CENTURY HILL DRIVE, Latham, NY 12110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capital District Behavioral Health Psychologists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Capital District Behavioral Health Psychologists, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Psychologist
NPI 1184010035
20 CENTURY HILL DR SUITE #202
Latham, NY 12110
(518) 785-7283
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1689918872
20 CENTURY HILL DR SUITE 202
Latham, NY 12110
(518) 785-7283
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1861572729
20 CENTURY HILL DRIVE SUITE 202
Latham, NY 12110
(518) 785-7283
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1619940319
20 CENTURY HILL DRIVE SUITE 202
Latham, NY 12110
(518) 785-7283
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1184677171
1270 BELMONT AVE
Schenectady, NY 12308
(518) 382-4522
✔ PECOS✔ Accepts Medicare8.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Capital District Behavioral Health Psychologists, PLLC's NPI number?

The NPI number for Capital District Behavioral Health Psychologists, PLLC is 1215152962. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Capital District Behavioral Health Psychologists, PLLC located?

Capital District Behavioral Health Psychologists, PLLC is located at 20 Century Hill Drive Suite 202, Latham, NY 12110. The listed phone number is (518) 785-7283.

What is Capital District Behavioral Health Psychologists, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Capital District Behavioral Health Psychologists, PLLC enrolled in Medicare?

Yes. Capital District Behavioral Health Psychologists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capital District Behavioral Health Psychologists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Capital District Behavioral Health Psychologists, PLLC. 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 Clinical Psychologist (4) and Clinical Social Worker (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Capital District Behavioral Health Psychologists, PLLC was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.