CONIFER PARK, INC
NPI 1538180351
Substance Abuse Rehabilitation Facility in Glenville, NY

NPI Status: Active since July 21, 2006

Contact Information

79 GLENRIDGE RD
GLENVILLE, NY
ZIP 12302
Phone: (518) 952-8142

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 33D0914711
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 03-26-2027

About CONIFER PARK, INC

This page provides the complete NPI Profile along with additional information for Conifer Park, Inc, a provider established in Glenville, New York operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1538180351 assigned on July 2006. The practitioner's primary taxonomy code is 324500000X with license number 00000 (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Andrea M Betts (Business Office Manager)

NPI
1538180351
Provider Name
CONIFER PARK, INC
Entity Type
Organization
Location Address
79 GLENRIDGE RD GLENVILLE, NY 12302
Location Phone
(518) 952-8142
Mailing Address
PO BOX 10092 ALBANY, NY 12201
Mailing Phone
(518) 952-8408
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2006
Last Update Date
11-02-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
00000
License State
NY
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREA M BETTS

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(518) 952-8142

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01420800MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0914711
Facility Type
Other
Certificate Effective Date
May 08, 1996
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. VICTOR G. LAREGINA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Conifer Park, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CONIFER PARK, INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538180351, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 2 + 8 + 0 + 3 + 1 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1538180351.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Nurse Practitioner (Family)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Physician Assistant
79 GLENRIDGE RD
GLENVILLE, NY 12302
Physician Assistant
79 GLENRIDGE RD
GLENVILLE, NY 12302
Physician Assistant
79 GLENRIDGE RD
GLENVILLE, NY 12302
Physician Assistant
79 GLENRIDGE RD
GLENVILLE, NY 12302
Counselor (Addiction (Substance Use Disorder))
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302
Nurse Practitioner (Family)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Registered Nurse
79 GLENRIDGE RD
GLENVILLE, NY 12302
Registered Nurse
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302
Internal Medicine (Addiction Medicine)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Physician Assistant (Medical)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Clinic/Center (Rehabilitation, Substance Use Disorder)
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302
Counselor (Addiction (Substance Use Disorder))
79 GLENRIDGE RD
GLENVILLE, NY 12302
Social Worker (Clinical)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Registered Nurse
79 GLENRIDGE RD
GLENVILLE, NY 12302
Counselor (Mental Health)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Social Worker
79 GLENRIDGE RD
GLENVILLE, NY 12302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538180351, enumerated as an "organization" on July 21, 2006.

The provider is located at 79 GLENRIDGE RD GLENVILLE, NY 12302 and the phone number is (518) 952-8142.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.