PINE BUSH MENTAL HEALTH, LLP
NPI 1962572362
Psychologist - Clinical in Albany, NY
About Pine Bush Mental Health, Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE BUSH MENTAL HEALTH, LLP (NPI 1962572362) is a healthcare organization registered as a clinical in Albany, New York and active in the NPI registry since November 2006. The organization lists Patricia Polanik Miller, Licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Bush Mental Health, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Pine Bush Mental Health, LLP, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pine Bush Mental Health, LLP's NPI number?
The NPI number for Pine Bush Mental Health, LLP is 1962572362. It was assigned to this organization in the NPPES registry on November 9, 2006.
Where is Pine Bush Mental Health, LLP located?
Pine Bush Mental Health, LLP is located at 1A Pine West Plz, Albany, NY 12205. The listed phone number is (518) 862-1665.
What is Pine Bush Mental Health, LLP's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Pine Bush Mental Health, LLP enrolled in Medicare?
Yes. Pine Bush Mental Health, LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Bush Mental Health, LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pine Bush Mental Health, LLP, in Clinical Psychologist and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pine Bush Mental Health, LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pine Bush Mental Health, Llp · NPI 1962572362
Clinical organization in Albany, New York. Organization record, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1962572362 (Entity type: Organization)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Patricia Miller, LICENSED PSYCHOLOGIST
## Practice location
- **Address:** 1A PINE WEST PLZ, Albany, NY 12205-5556
- **Phone:** (518) 862-1665 · **Fax:** (518) 862-1668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (2), Psychiatry (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962572362) · Data from the CMS NPPES public registry.