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BAYWOOD CLINIC
NPI 1700908530
Substance Abuse Rehabilitation Facility in Queensbury, NY

Active since April 04, 2007CLIA 33D2321530 · Waiver
551 BAY RD, QUEENSBURY, NY 12804(518) 798-4221 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baywood Clinic NPPES

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

BAYWOOD CLINIC (NPI 1700908530) is a healthcare organization registered as a substance abuse rehabilitation facility in Queensbury, New York and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Peter Young, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1700908530
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name820 RIVER STREET INC.
Location Address551 BAY RDQueensbury, NY 12804-1441
Mailing Address551 Bay RdQueensbury, NY 12804-1441 · (518) 798-4221
Phone(518) 798-4221
Organization SubpartNo
Authorized OfficialPeter YoungChief Operating Officer · (518) 377-2448
Enumeration DateApril 4, 2007
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1700908530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
551 BAY RD, Queensbury, NY 12804
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Other Names 1

Doing Business AsBaywood Clinic

Other Identifiers 1

Medicaid03007114NY

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 of Waiver 33D2321530

820 River Street Inc - Baywood Center · Queensbury, NY
Active · expires Mar 26, 2027
CLIA Number33D2321530
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateApril 4, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Mohammed Kabir
Laboratory Phone(518) 798-4221
Laboratory Location820 River Street Inc - Baywood Center551 Bay Rd, Queensbury, NY 12804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL P HOMENICK PH.D.
Psychologist
551 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 798-4056
MRS. MINDY HARTMAN LAVINE M.S., CCC-SLP
Speech-Language Pathologist
551 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 798-4056
DR. JAMES P MERRIGAN PHD
Psychologist (Clinical)
551 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 798-4056
PSYCHOLOGICAL ASSOCIATES OF NORTHEASTERN NEW YORK PC
Psychologist
551 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 798-4056

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 820 River Street Inc.'s NPI number?

The NPI number for 820 River Street Inc. is 1700908530. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is doing business as Baywood Clinic.

Where is 820 River Street Inc. located?

820 River Street Inc. is located at 551 Bay Rd, Queensbury, NY 12804. The listed phone number is (518) 798-4221.

What is 820 River Street Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does 820 River Street Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2321530) 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 820 River Street Inc. was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.