Active NPI
Inner Horizons, LLC
- Community/Behavioral Health Agency
- Schenectady, NY
National Provider Identifier
1134773302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- INNER HORIZONS, LLC
- Practice address
- 1401 Union St
Schenectady, NY 12308-3023 - Phone
- (518) 576-8423
- Fax
- (518) 314-0886
- NPI assigned
- Jul 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eloise Marie Potenza, PSY.D.
- Title
- Owner/Principal
- Phone
- (518) 576-9858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1401 Union St
Schenectady, NY 12308-3023
Mailing address
11 Peel St
Selkirk, NY 12158-9734
Phone (518) 576-8423
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564099200000",
"number": "1134773302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PEEL ST",
"city": "SELKIRK",
"state": "NY",
"postal_code": "121589734",
"telephone_number": "518-576-8423",
"fax_number": "518-314-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 UNION ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123083023",
"telephone_number": "518-576-8423",
"fax_number": "518-314-0886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER HORIZONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A",
"authorized_official_last_name": "POTENZA",
"authorized_official_first_name": "ELOISE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/PRINCIPAL",
"authorized_official_telephone_number": "518-576-9858",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.