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SUNY POTSDAM
NPI 1487706917
Clinic/Center - Student Health in Potsdam, NY

Active since January 17, 2007CLIA 33D0689407 · Microscopy
44 PIERREPONT AVE, POTSDAM, NY 13676(315) 267-2377(315) 267-3260 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suny Potsdam NPPES

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

SUNY POTSDAM (NPI 1487706917) is a healthcare organization registered as a student health in Potsdam, New York and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Marilyn Bartlett Doelger, Director Student Health, as its authorized official.

NPPES Registry Identity

NPI1487706917
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSUNY POTSDAM
Location Address44 PIERREPONT AVEPotsdam, NY 13676-2200
Mailing Address44 Pierrepont AvePotsdam, NY 13676-2200 · (315) 267-2377 · Fax (315) 267-3260
Phone(315) 267-2377
Fax(315) 267-3260
Organization SubpartNo
Authorized OfficialMarilyn Bartlett DoelgerDirector Student Health · (315) 267-2377
Enumeration DateJanuary 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487706917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License✔ Licensed in NY · F301604
44 PIERREPONT AVE, Potsdam, NY 13676
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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 for Provider-Performed Microscopy Procedures (PPMP) 33D0689407

Suny Potsdam Watkins Student Health Services - Van Housen Hall · Potsdam, NY
Active · expires Mar 26, 2027
CLIA Number33D0689407
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 16, 2002
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMs. Alicia L. Sienkiewycz
Laboratory Phone(315) 267-2374
Laboratory LocationSuny Potsdam Watkins Student Health Services - Van Housen Hall44 Pierrepont Ave, Potsdam, NY 13676
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

REBECCA COLLINS TEJERA LCSW
Social Worker (Clinical)
44 PIERREPONT AVE
POTSDAM, NY 13676
St. Lawrence County (315) 261-8765
GENEVIEVE RAMSAY LMSW
Social Worker
44 PIERREPONT AVE
POTSDAM, NY 13676
St. Lawrence County (315) 267-2330
GENA CHRISTINE NELSON LMHC
Counselor (Mental Health)
44 PIERREPONT AVE, 393 VH EXT
POTSDAM, NY 13676
St. Lawrence County (315) 212-1928
MARY ELIZABETH ROSENFELD NP
Nurse Practitioner (Adult Health)
44 PIERREPONT AVE
POTSDAM, NY 13676
St. Lawrence County (315) 267-2338
MISS BRANDI K. KELLEY LCSW
Social Worker (Clinical)
44 PIERREPONT AVE
POTSDAM, NY 13676
St. Lawrence County (315) 261-8522
SUNY POTSDAM STUDENT HEALTH SERVICES
Clinic/Center (Student Health)
44 PIERREPONT AVE, STUDENT HEALTH SERVICES
POTSDAM, NY 13676
St. Lawrence County (315) 267-2377
MRS. HEATHER ANNE PIKE ATC
Specialist/Technologist (Athletic Trainer)
44 PIERREPONT AVE
POTSDAM, NY 13676
St. Lawrence County (315) 267-3004
DR. RICHARD W. WILLIAMS RICHARD WILLIAMS PHD
Psychologist (Clinical)
44 PIERREPONT AVE, FLAGG 153
POTSDAM, NY 13676
St. Lawrence County (315) 600-8020

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 Suny Potsdam's NPI number?

The NPI number for Suny Potsdam is 1487706917. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Suny Potsdam located?

Suny Potsdam is located at 44 Pierrepont Ave, Potsdam, NY 13676. The listed phone number is (315) 267-2377.

What is Suny Potsdam's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Suny Potsdam hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0689407) 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 Suny Potsdam was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.