TACONIC DDSO CLINIC POUGHKEEPSIE
NPI 1972637692
Clinic/Center - Developmental Disabilities in Poughkeepsie, NY

Active since March 15, 2007
7 MANSION ST, POUGHKEEPSIE, NY 12601(518) 402-4333 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Taconic Ddso Clinic Poughkeepsie NPPES

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

TACONIC DDSO CLINIC POUGHKEEPSIE (NPI 1972637692) is a healthcare organization registered as a developmental disabilities in Poughkeepsie, New York and active in the NPI registry since March 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1972637692
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameTACONIC DDSO CLINIC POUGHKEEPSIE
Location Address7 MANSION STPoughkeepsie, NY 12601-2309
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartNo
Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 20, 2009
✔ NPI 1972637692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License✔ Licensed in NY · 00275410
Definition
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.).
7 MANSION ST, Poughkeepsie, NY 12601

Other Identifiers 1

Medicaid01399242NY

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taconic Ddso Clinic Poughkeepsie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040313000077Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Taconic Ddso Clinic Poughkeepsie, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Internal Medicine14
Nurse Practitioner10
Physical Medicine and Rehabilitation8
Anesthesiology4
Family Practice3
Psychiatry3
Diagnostic Radiology2
Cardiovascular Disease (Cardiology)1
8 other specialties8

Nearest to this location (20)

See all 53
Critical Care (Intensivists)
NPI 1336438167
155 CRYSTAL RUN RD
Middletown, NY 10941
(845) 703-6999
✔ PECOS29 mi
Physical Medicine and Rehabilitation
NPI 1134142219
707 E MAIN ST
Middletown, NY 10940
(845) 333-7575
✔ PECOS30 mi
Internal Medicine
NPI 1376649111
111 MALTESE DR
Middletown, NY 10940
(845) 342-4774
✔ PECOS30 mi
Nurse Practitioner
NPI 1396764114
2166 ALBANY POST RD
Montrose, NY 10548
(914) 737-4400
✔ PECOS31 mi
Internal Medicine
NPI 1720029770
2834 RT. 17M MID-HUDSON FORENSIC PSYCHIATRIC CENTER,
New Hampton, NY 10958
(845) 283-3847
✔ PECOS32 mi
Physical Medicine and Rehabilitation
NPI 1750380572
51 N ROUTE 9W
West Haverstraw, NY 10993
(845) 786-4101
✔ PECOS33 mi
Neurology
NPI 1912904426
51-55 ROUTE 9W
West Haverstraw, NY 10993
(845) 786-4459
✔ PECOS33 mi
Nurse Practitioner
NPI 1790800407
51-55N ROUTE 9W
West Haverstraw, NY 10993
(845) 786-4000
✔ PECOS34 mi
Urology
NPI 1184668808
11 MEDICAL PARK DR SUITE 101
Pomona, NY 10970
(845) 354-5800
✔ PECOS38 mi
Clinical Psychologist
NPI 1487615548
11 MEDICAL PARK DR SUITE 102
Pomona, NY 10970
(800) 402-8019
✔ PECOS✔ Accepts Medicare38 mi
Psychiatry
NPI 1740393024
29 RAVENNA DR
Pomona, NY 10970
(845) 362-9176
✔ PECOS38 mi
Pulmonary Disease
NPI 1245258243
55 OLD NYACK TURNPIKE STE 301
Nanuet, NY 10954
(845) 623-9400
✔ PECOS✔ Accepts Medicare42 mi
Cardiovascular Disease (Cardiology)
NPI 1265510556
79 ROUTE 59 STE 5
Suffern, NY 10901
(845) 357-1717
✔ PECOS42 mi
Psychiatry
NPI 1639255615
95 GRASSLANDS ROAD NYMC BEHAVIORAL HEALTH CENTER ROOM N326
Valhalla, NY 10595
(914) 493-7124
✔ PECOS43 mi
Anesthesiology
NPI 1336155019
500 N FRANKLIN TPKE SUITE 206
Ramsey, NJ 07446
(201) 962-7282
✔ PECOS45 mi
Anesthesiology
NPI 1437166105
500 N FRANKLIN TPKE SUITE 206
Ramsey, NJ 07446
(201) 962-7282
✔ PECOS45 mi
Dentist
NPI 1790097210
60 DUTCH HILL RD SUITE 10
Orangeburg, NY 10962
(845) 359-1300
✔ PECOS46 mi
Infectious Disease
NPI 1659317238
416 E 76TH ST 4TH FLOOR
New York, NY 10021
(212) 434-5393
✔ PECOS65 mi
Geriatric Medicine
NPI 1992842819
100 PATRIOTS RD
Stony Brook, NY 11790
(631) 444-8500
✔ PECOS69 mi
Family Practice
NPI 1225365950
67 KAREN CT
Wading River, NY 11792
(631) 953-7719
✔ PECOS✔ Accepts Medicare78 mi
See all 53 clinicians

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 Taconic Ddso Clinic Poughkeepsie's NPI number?

The NPI number for Taconic Ddso Clinic Poughkeepsie is 1972637692. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Taconic Ddso Clinic Poughkeepsie located?

Taconic Ddso Clinic Poughkeepsie is located at 7 Mansion St, Poughkeepsie, NY 12601. The listed phone number is (518) 402-4333.

What is Taconic Ddso Clinic Poughkeepsie's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Is Taconic Ddso Clinic Poughkeepsie enrolled in Medicare?

Yes. Taconic Ddso Clinic Poughkeepsie is registered in the Medicare PECOS enrollment system.

When is Taconic Ddso Clinic Poughkeepsie's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Taconic Ddso Clinic Poughkeepsie?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 16 Medicare specialties reassign their Medicare billing to Taconic Ddso Clinic Poughkeepsie. 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. The largest specialties are Internal Medicine (14), Nurse Practitioner (10) and Physical Medicine and Rehabilitation (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Taconic Ddso Clinic Poughkeepsie was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.