Natural Dystopia

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NATURAL DYSTOPIA

Practice address

147 Ridge St Ste 2
Glens Falls, NY 12801-3216

Phone

(518) 480-7208

Fax

(844) 283-6959

NPI assigned

Oct 15, 2018

Last updated

Oct 15, 2018By 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

Akashia Ross

Title

Partner/Office Manager

Phone

(518) 586-4278

Specialties & licenses 2

Addresses

Locations

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.

• Renee Katherine Larock-Gary, LMHC

  • Mental Health Counselor
  • Ticonderoga, NY
  • NPI 1700360732
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1275009490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOREHOUS DR",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831110",
            "telephone_number": "518-586-4278",
            "fax_number": "844-283-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 RIDGE ST STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013216",
            "telephone_number": "518-480-7208",
            "fax_number": "844-283-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL DYSTOPIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "AKASHIA",
        "authorized_official_title_or_position": "PARTNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "518-586-4278"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Myers, MD
• N G Physical Therapy PLLC
• N Gauger, Nurse Practitioner in Psychiatry, PLLC
• Kristine Elisabeth Nailor
• National Vision, Inc.
• Margaret Muireann Naughton
• Renee Elizabeth Neddo
• Jessica R Nelson, CNM
• Surendra Kumar Nevatia, M.D.
• Mary J Nevins, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.