Individual provider Active NPI

Steven David Kronick, M.D.

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1144215344
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
165061 Issued in NY
Practice address
1A Pine West PLZ
Albany, NY 12205-5556
Phone
(518) 862-1665
Fax
(518) 862-1668
NPI assigned
Sep 13, 2005
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 165061 NY Primary

Addresses

Primary practice location

1A Pine West PLZ
Albany, NY 12205-5556

Mailing address

1A Pine West PLZ
Albany, NY 12205-5556
Phone (518) 862-1665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000517 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4981660255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Albany Medical College of Union University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pine Bush Mental Health LLPGroup PAC ID 0547363327, 3 clinicians

Practice addresses (Care Compare)

1 Pine W PLZ
Albany, NY 12205-5539
Phone (518) 862-1665

175 Green St
Albany, NY 12202-1809

260 S Pearl St
Albany, NY 12202-1809
Phone (518) 447-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
165061NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany County CurrentSince Jan 1, 2002 Accepting new patients
Albany County CurrentSince Jan 1, 2002 Accepting new patients
Kingsway Arms Nursing Center, Inc. CurrentSince Nov 1, 2004 Accepting new patients
Baptist Health Nursing and Rehabilitation Center Inc CurrentSince Dec 29, 2006 Accepting new patients
Pine Bush Mental Health, LLP CurrentSince Jan 2, 1997 Accepting new patients

Locations

1A Pine West Plz
Albany, NY 12205
Phone (518) 416-9500

260 S Pearl St
Albany, NY 12202
Phone (518) 447-4550

323 Kings Rd
Schenectady, NY 12304
Phone (518) 393-4117

297 N Ballston Ave
Scotia, NY 12302
Phone (518) 370-4700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1144215344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A PINE WEST PLZ",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055556",
            "telephone_number": "518-862-1665",
            "fax_number": "518-862-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A PINE WEST PLZ",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055556",
            "telephone_number": "518-862-1665",
            "fax_number": "518-862-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONICK",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "165061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.