ST. MARY'S CAMPUS ADDICTION RECOVERY CENTER - NPI 1609931443

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.

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About St. Mary's Campus Addiction Recovery Center NPPES

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

ST. MARY'S CAMPUS ADDICTION RECOVERY CENTER (NPI 1609931443) is a healthcare organization registered as a rehabilitation, substance use disorder in Troy, New York and active in the NPI registry since December 2006. The organization lists Courtney Knowles, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1609931443

Entity TypeOrganization

Primary Taxonomy261QR0405X

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

Location Address1300 MASSACHUSETTS AVETroy, NY 12180-1628

Mailing AddressPo Box 14890Albany, NY 12212-4890

Phone(518) 268-5542

Fax(518) 268-5324

Organization SubpartYes

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

Enumeration DateDecember 22, 2006

Last NPPES UpdateMay 24, 20232 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1609931443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

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

Taxonomy Code261QR0405X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedRehabilitation UnitTaxonomy 273Y00000X

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

Also ListedRehabilitation HospitalTaxonomy 283X00000X · License 074304-1 (NY)

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1300 MASSACHUSETTS AVE, Troy, NY 12180

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Other Names 1

Other NameSt. Mary's Campus Addiction Recovery Center

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

Other Providers at the Same Location NPPES 20

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

GARRY DUROSIER MD

Pediatrics