Pearl Street Counseling Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

070611525 Issued in NY

Legal business name

PEARL STREET COUNSELING CENTER, INC.

Practice address

109 State St
Albany, NY 12207-1622

Phone

(518) 462-4320

Fax

(518) 462-4360

NPI assigned

Oct 26, 2006

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Guy Kuperman

Title

Executive Director

Phone

(518) 462-4320

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1154406221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071622",
            "telephone_number": "518-462-4320",
            "fax_number": "518-462-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 STATE ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071622",
            "telephone_number": "518-462-4320",
            "fax_number": "518-462-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL STREET COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KUPERMAN",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-462-4320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "070611525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02760438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Morgan Peace, M.D.
• Jay Peacock, PT
• Rachael Peals
• Emily Monica Pearce, OTR/L
• Jennifer M Pearce, M.D.
• Pearle Vision (tone optical)
• Eleanor Pearlman, LCSWR
• Martin Victor Pearlmon, LCSW CASAC
• Darren Pearson
• Teteisha Tianna Pearson, CRNA

• Clinic/Center in Albany, NY
• Providers in Albany, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.