NPIMap

Organization Active NPI

SDTC the Center for Discovery

  • Intellectual Disabilities Intermediate Care Facility
  • Liberty, NY
National Provider Identifier
1154493013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SDTC THE CENTER FOR DISCOVERY
Practice address
96 Wawanda Ave
Liberty, NY 12754-1318
Phone
(845) 794-1400
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Claude D'Alessandro
Title
VP of Finance
Phone
(845) 794-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

96 Wawanda Ave
Liberty, NY 12754-1318

Mailing address

PO Box 840
Harris, NY 12742-0840
Phone (845) 794-1400

Other identifiers 2

IdentifierTypeStateIssuer
01008768MedicaidNY
7467441OtherNYOPERATING CERTIFICATE

National Provider Directory

National Provider Directory
Tax ID family
Center for Discovery44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

96 Wawanda Ave
Liberty, NY 12754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154493013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "127420840",
            "telephone_number": "845-794-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WAWANDA AVE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541318",
            "telephone_number": "845-794-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDTC THE CENTER FOR DISCOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'ALESSANDRO",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "845-794-1400"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01008768",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE",
            "identifier": "7467441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.