Andrew Stephen Labarge, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

014976 Issued in NY

Practice address

834 Kenwood Ave
Suite 3
Slingerlands, NY 12159-9601

Phone

(518) 439-1641

Fax

(518) 439-1625

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunnyview Hospital and Rehabilitation CenterGroup PAC ID 5496743072, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.87 of 100Reported as group

Quality

90.67

Improvement activities

10

Cost

78.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunnyview Hospital and Rehabilitation Center

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1578664470

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1285764522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 KENWOOD AVE",
            "address_2": "SUITE 3",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599601",
            "telephone_number": "518-439-1641",
            "fax_number": "518-439-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 KENWOOD AVE",
            "address_2": "SUITE 3",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599601",
            "telephone_number": "518-439-1641",
            "fax_number": "518-439-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARGE",
        "first_name": "ANDREW",
        "middle_name": "STEPHEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "014976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "834 Kenwood Ave",
            "address_2": "Suite 3",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121599601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanne S Kennicutt, RPH, MBA
• Dominique Kenyatta
• Richard Eric Kittle, MD
• Erika Korzeniewski, PSY.D.
• Kurt Wendell Relation DPM PLLC
• Tiffany L Lambert, PA-C
• Miranda Alfred Lamorte
• Spencer Langevin, M.D.
• Jennifer Kim Larner, MD
• Sarah Laster

• Clinical Neuropsychologist in Slingerlands, NY
• Providers in Slingerlands, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.