VA MEDICAL CENTER BATH NY
NPI 1629097274
Psychologist - Intellectual and Developmental Disabilities in Bath, NY

Q: What is VA Medical Center Bath Ny's NPI number?

The NPI number for VA Medical Center Bath Ny is 1629097274. It was assigned to this organization in the NPPES registry on July 18, 2006.

Q: What is VA Medical Center Bath Ny's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Active since July 18, 2006

76 VETERANS AVE, BEHAVIORAL HEALTH ROOM 511D, BATH, NY 14810(607) 664-4305 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Va Medical Center Bath Ny NPPES

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

VA MEDICAL CENTER BATH NY (NPI 1629097274) is a healthcare organization registered as an intellectual and developmental disabilities in Bath, New York and active in the NPI registry since July 2006. The organization lists Mark W Lawson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1629097274

Entity TypeOrganization

Primary Taxonomy103TM1800X

Legal Business NameVA MEDICAL CENTER BATH NY

Location Address76 VETERANS AVE, BEHAVIORAL HEALTH ROOM 511DBath, NY 14810-0810

Mailing Address104 Texas LnIthaca, NY 14850-1755 · (607) 319-0929

Phone(607) 664-4305

Organization SubpartNo

Authorized OfficialMark W LawsonClinical Psychologist · (607) 664-4305

Enumeration DateJuly 18, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1629097274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

License✔ Licensed in AR · 94-27P

Also ListedPsychologistTaxonomy 103T00000X · License 94-27P (AR)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 94-27P (AR)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 94-27P (AR)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 94-27P (AR)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 94-27P (AR)

76 VETERANS AVE, Bath, NY 14810

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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.

DAVID A GOODMAN PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

76 VETERANS AVE, PHARMACY DEPT (119)
BATH, NY 14810

Steuben County (607) 664-4469

MRS. MURIEL S BROWN GNP-BC

Nurse Practitioner (Gerontology)