Brookside Counseling Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010837 Issued in NY

Legal business name

BROOKSIDE COUNSELING ASSOCIATES

Practice address

1444 Massachusetts Ave
Suite 208
Troy, NY 12180-1600

Phone

(518) 274-2336

Fax

(518) 274-2336

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alfred M Volo, PH.D.NPI 1215092556

Title

Sole Proprietor

Phone

(518) 274-2336

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfred M Volo, PH.D.

  • Clinical Psychologist
  • Troy, NY
  • NPI 1215092556
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295954238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 MASSACHUSETTS AVE",
            "address_2": "SUITE 208",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801600",
            "telephone_number": "518-274-2336",
            "fax_number": "518-274-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 MASSACHUSETTS AVE",
            "address_2": "SUITE 208",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801600",
            "telephone_number": "518-274-2336",
            "fax_number": "518-274-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLO",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "518-274-2336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01627072",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215092556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Brocker, PT
• Ashley Broda, PT
• Angelina Marie Broga, PA
• Joanne R Bronk, RPH
• Andrew Davison Brooks, RN
• Meghan W Brost, PHARMD
• Sarah Elizabeth Brown (Dauphinais), MS E
• Amanda Marisa Brown, MS ATC CSCS PES
• Casey Brown, PA
• Danielle Brown

• Clinical Psychologist in Troy, NY
• Providers in Troy, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.