Organization Active NPI

Ridge Health Services, Inc.

  • Developmental Disabilities Clinic/Center
  • Schenectady, NY
National Provider Identifier
1285928119
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
RIDGE HEALTH SERVICES, INC.
Practice address
214 State St
Schenectady, NY 12305-1806
Phone
(518) 372-1160
Fax
(518) 372-8574
NPI assigned
Jun 8, 2011
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Mr. Kirk Lewis
Title
Executive Director
Phone
(518) 372-1160

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

214 State St
Schenectady, NY 12305-1806

Mailing address

214 State St
Schenectady, NY 12305-1806
Phone (518) 372-1160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000058 NY Part B Supplier - Clinic/Group Practice 4880865716 Receives reassigned benefits from 9 practitioners
Practice locations: Schenectady, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1285928119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051806",
            "telephone_number": "518-372-1160",
            "fax_number": "518-372-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051806",
            "telephone_number": "518-372-1160",
            "fax_number": "518-372-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-372-1160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.