St. Joseph'S Addiction Treatment & Recovery Centers

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

ST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS

Practice address

917 Congress St
Schenectady, NY 12303-1727

Phone

(518) 357-8387

NPI assigned

Jul 6, 2022

Organization subpart

Yes

Parent organization

ST JOSEPHS REHABILITATION CENTER, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Provost, PEER SPECIALISTS

Title

Manager

Phone

(518) 357-8387

Specialties & licenses 1

Addresses

Other names 1

• St. Joseph's Guest House Other name

Part of

St Josephs Rehabilitation Center Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St Josephs Rehabilitation Center, Inc

  • Rehabilitation Hospital
  • Saranac Lake, NY
  • NPI 1629172762
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1003549130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 GLENWOOD DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 CONGRESS ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123031727",
            "telephone_number": "518-357-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S ADDICTION TREATMENT & RECOVERY CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPHS REHABILITATION CENTER, INC",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "518-357-8387",
        "authorized_official_credential": "PEER SPECIALISTS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Guest House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Peer Specialist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.