NPIMap

Organization Active NPI

The Center for Discovery Inc

  • Rural Health Clinic/Center
  • Monticello, NY
National Provider Identifier
1275624694
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THE CENTER FOR DISCOVERY INC
Practice address
606 Old Route 17
Monticello, NY 12701-7013
Phone
(845) 707-8400
Fax
(845) 707-8915
NPI assigned
Sep 28, 2006
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Theresa Hamlin
Title
Ceo
Phone
(845) 707-8480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

606 Old Route 17
Monticello, NY 12701-7013

Mailing address

PO Box 840
Harris, NY 12742-7013
Phone (845) 794-1400

Other identifiers 2

IdentifierTypeStateIssuer
02223590MedicaidNY
5220200ROtherNYOPERATING CERTIFICTE

Other names 1

  • SDTC The Center for Discovery Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040312001247 NY Part B Supplier - Clinic/Group Practice 1557250933 Receives reassigned benefits from 42 practitioners
Practice locations: Monticello, NY
O20210728002030 NY Part A Provider - Rural Health Clinic 1557250933 Practice locations: Monticello, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275624694. Details of each certification follow.

Rural health clinic certification: CCN 333836

Legal name
THE CENTER FOR DISCOVERY INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 4, 2022
Last certification
Nov 4, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1950 in NY
Enrollment address
606 Old Route 17
Monticello, NY 12701-7013

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

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Arthur L Thompson Individual Corporate DirectorDirector Feb 14, 2022
Malcolm J Harkins Individual Corporate DirectorDirector Feb 14, 2022
Edward J Giancontieri Individual Corporate DirectorVice Chairperson Feb 14, 2022
John R Milligan Individual Corporate DirectorChairperson Feb 14, 2022
Michael J Dubilier Individual Corporate DirectorSecretary Feb 14, 2022
Claude G Dalessandro Individual Corporate OfficerCfo Mar 1, 2008
William C Myslinski Individual Corporate DirectorTreasurer Feb 14, 2022
Ellen R Alemany Individual Corporate DirectorDirector Feb 14, 2022
Eileen T Naughton Individual Corporate DirectorDirector Feb 14, 2022
Nancy a McElroy Individual Corporate DirectorDirector Feb 14, 2022
Kevin M Fee Individual Corporate DirectorDirector Feb 14, 2022
Elinor Bly Individual Corporate DirectorDirector Feb 14, 2022
Philip D Wilken Individual Corporate DirectorMedical Director Sep 1, 1999
Joel S Forman Individual Corporate DirectorDirector Feb 14, 2022
Nicole L Rizzitiello Individual W-2 Managing EmployeeAdministrator May 1, 2017
Edward C Sweeney Individual Corporate DirectorChairperson Feb 14, 2022
Allison J Lewis Individual Corporate DirectorDirector Feb 14, 2022
Aidan T Quinn Individual Corporate DirectorDirectoe Feb 14, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1275624694",
    "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": "127427013",
            "telephone_number": "845-794-1400",
            "fax_number": "845-796-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 OLD ROUTE 17",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127017013",
            "telephone_number": "845-707-8400",
            "fax_number": "845-707-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR DISCOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-707-8480"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02223590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICTE",
            "identifier": "5220200R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDTC The Center for Discovery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.