TACONIC DDSO
NPI 1679702955
Clinic/Center - Developmental Disabilities in Copake, NY

NPI Status: Active since July 08, 2009

Contact Information

84 CAMP HILL RD
COPAKE, NY
ZIP 12516
Phone: (518) 329-4851

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About TACONIC DDSO

This page provides the complete NPI Profile along with additional information for Taconic Ddso, a provider established in Copake, New York operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1679702955 assigned on July 2009. The practitioner's primary taxonomy code is 261QD1600X with license number 00275410 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Taconic Ddso. The authorized official of this NPI record is Earl Jefferson (Director Of Central Operations)

NPI
1679702955
Provider Legal Name
STATE OF NEW YORK COMPTROLLERS OFFICE
Other Organization Name
TACONIC DDSO
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
84 CAMP HILL RD COPAKE, NY 12516
Location Phone
(518) 329-4851
Mailing Address
44 HOLLAND AVE ALBANY, NY 12229
Mailing Phone
(518) 402-4333
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-08-2009
Last Update Date
12-28-2015
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License No.
00275410
License State
NY
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

EARL JEFFERSON

Authorized Official Title
DIRECTOR OF CENTRAL OPERATIONS
Authorized Official Phone
(510) 402-4333

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
A100018664MEDICARE PIN (08)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679702955
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491404910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 4 + 0 + 4 + 9 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1679702955 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679702955, enumerated as an "organization" on July 08, 2009.

The provider is located at 84 CAMP HILL RD COPAKE, NY 12516 and the phone number is (518) 329-4851.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

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