NPIMap

Organization Active NPI

Hudson Mohawk Recovery Center Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Troy, NY
National Provider Identifier
1275082562
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
30911 Issued in NY
Legal business name
HUDSON MOHAWK RECOVERY CENTER INC
Practice address
1724 5TH Ave
Troy, NY 12180-3541
Phone
(518) 272-3918
Fax
(518) 272-6391
NPI assigned
Sep 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mrs. Mary Delory, CASAC
Title
Troy Clinic Director
Phone
(518) 272-3918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 30911 NY Primary

Addresses

Primary practice location

1724 5TH Ave
Troy, NY 12180-3541

Mailing address

1724 5TH Ave
Troy, NY 12180-3541
Phone (518) 272-3918

National Provider Directory

National Provider Directory
Tax ID family
Hudson Mohawk Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1275082562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803541",
            "telephone_number": "518-272-3918",
            "fax_number": "518-272-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803541",
            "telephone_number": "518-272-3918",
            "fax_number": "518-272-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MOHAWK RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "DELORY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "TROY CLINIC DIRECTOR",
        "authorized_official_telephone_number": "518-272-3918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "30911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.