Organization Active NPI

Sparc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Albany, NY
National Provider Identifier
1093903130
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
SPARC
Practice address
845 Central Ave
Albany, NY 12206-1514
Phone
(518) 482-2455
NPI assigned
Oct 12, 2007
Organization subpart
Yes
Parent organization
ST PETERS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Steve Boyle
Title
Ceo
Phone
(515) 525-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

845 Central Ave
Albany, NY 12206-1514

Mailing address

845 Central Ave
Albany, NY 12206-1514

National Provider Directory

National Provider Directory
Part of
Robert W Kelty

Locations

845 Central Ave
Albany, NY 12206
Phone (518) 458-8888

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1093903130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-482-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST PETERS HOSPITAL",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-525-1550"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.