NPIMap

Organization Active NPI

Anderson Center Services Inc

  • Developmental Disabilities Clinic/Center
  • Staatsburg, NY
National Provider Identifier
1205185196
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ANDERSON CENTER SERVICES INC
Practice address
4885 Route 9
Staatsburg, NY 12580-0367
Phone
(845) 889-9211
Fax
(845) 889-9911
NPI assigned
Sep 6, 2012
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Mr. Neil J Pollack
Title
Chief Executive Officer
Phone
(845) 889-9204

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

4885 Route 9
Staatsburg, NY 12580-0367

Mailing address

PO Box 367
4885 Route 9
Staatsburg, NY 12580-0367
Phone (845) 889-9211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140303000899 NY Part B Supplier - Clinic/Group Practice 3274763792 Receives reassigned benefits from 14 practitioners
Practice locations: Staatsburg, NY

National Provider Directory

National Provider Directory
Tax ID family
Anderson Center Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7 Century Hill Dr
#1
Latham, NY 12110

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1205185196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "address_2": "4885 ROUTE 9",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125800367",
            "telephone_number": "845-889-9211",
            "fax_number": "845-889-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 ROUTE 9",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125800367",
            "telephone_number": "845-889-9211",
            "fax_number": "845-889-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CENTER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-889-9204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staatsburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.