ST. PETER'S ADDICTION RECOVERY CENTER
NPI 1407937477
Clinic/Center - Rehabilitation, Substance Use Disorder in Guilderland, NY

Q: What is St. Peter's Hospital Of The City Of Albany's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since October 18, 2006CLIA 33D0890711 · Waiver

3 MERCYCARE LANE, GUILDERLAND, NY 12084(518) 452-6700 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Oct 11, 2021, Feb 9, 2021 and 3 more (6 updates tracked since 2016).

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About St. Peter's Addiction Recovery Center NPPES

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

ST. PETER'S ADDICTION RECOVERY CENTER (NPI 1407937477) is a healthcare organization registered as a rehabilitation, substance use disorder in Guilderland, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Courtney Knowles, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1407937477

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameST. PETER'S HOSPITAL OF THE CITY OF ALBANY

Location Address3 MERCYCARE LANEGuilderland, NY 12084-3504

Mailing AddressPo Box 14890Albany, NY 12212-4890

Phone(518) 452-6700

Organization SubpartYes

Authorized OfficialCourtney KnowlesCredentialing & Enrollment Manager · (518) 525-5634

Enumeration DateOctober 18, 2006

Last NPPES UpdateMay 24, 20236 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1407937477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in NY · 0101004H

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 0101004H (NY)

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

3 MERCYCARE LANE, Guilderland, NY 12084

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Other Names 1

Other NameSt. Peter's Addiction Recovery Center

Other Identifiers 1

Other10005852NY · Rehab Substance Use

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 33D0890711

St Peters Addiction Recovery Center · Guilderland, NY

Active · expires Mar 26, 2027

CLIA Number33D0890711

Laboratory TypeOther

Certificate Effective DateNovember 7, 2008

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Angad Madan

Laboratory Phone(518) 452-6700

Laboratory LocationSt Peters Addiction Recovery Center3 Mercycare Lane, Guilderland, NY 12084

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARGARET LORETTA GREENWOOD FNP

Nurse Practitioner (Psychiatric/Mental Health)

3 MERCYCARE LANE
GUILDERLAND, NY 12084

Albany County (518) 452-6760

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 St. Peter's Hospital Of The City Of Albany's NPI number?

The NPI number for St. Peter's Hospital Of The City Of Albany is 1407937477. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is also known as St. Peter's Addiction Recovery Center.

Where is St. Peter's Hospital Of The City Of Albany located?

St. Peter's Hospital Of The City Of Albany is located at 3 Mercycare Lane, Guilderland, NY 12084. The listed phone number is (518) 452-6700.

What is St. Peter's Hospital Of The City Of Albany's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does St. Peter's Hospital Of The City Of Albany hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0890711) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Peter's Hospital Of The City Of Albany was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.