Organization Active NPI

Life Cycles Clinic

  • Acupuncturist
  • Latham, NY
National Provider Identifier
1154892909
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LIFE CYCLES CLINIC
Practice address
839 New Loudon Rd Ste 1
Latham, NY 12110-6101
Phone
(518) 504-6600
Fax
(617) 221-9734
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Katya Galay, LACNPI 1750837092
Title
Clinic Owner
Phone
(518) 504-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

839 New Loudon Rd Ste 1
Latham, NY 12110-6101

Mailing address

288 South River Road
BLDG a, Unit 1
Bedford, NH 03110
Phone (603) 399-6600

Other identifiers 1

IdentifierTypeStateIssuer
1750837092OtherNPI

National Provider Directory

National Provider Directory

Locations

839 New Loudon Rd
Ste 1
Latham, NY 12110
Phone (518) 504-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1154892909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 SOUTH RIVER ROAD",
            "address_2": "BLDG A, UNIT 1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-399-6600",
            "fax_number": "617-221-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 NEW LOUDON RD STE 1",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121106101",
            "telephone_number": "518-504-6600",
            "fax_number": "617-221-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CYCLES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "GALAY",
        "authorized_official_first_name": "KATYA",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "518-504-6600",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750837092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.