The Young Mens Christian Association of Plattsburgh, New York

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE YOUNG MENS CHRISTIAN ASSOCIATION OF PLATTSBURGH, NEW YORK

Practice address

17 Oak St
Plattsburgh, NY 12901-2810

Phone

(518) 561-4290

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Killeen

Title

Ceo

Phone

(518) 561-4290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1316482722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OAK ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012810",
            "telephone_number": "518-561-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OAK ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012810",
            "telephone_number": "518-561-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUNG MENS CHRISTIAN ASSOCIATION OF PLATTSBURGH, NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "KILLEEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-561-4290"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ashley Terry, PHARMD
• Rori Tetreault, LMSW
• TG Behavioral Health Consultants Inc.
• The Pathology Group PC
• The PH.WC LLP
• Elizabeth Jackstadt Theeman, MS, PT
• Thephwc LLP
• Katelyn Therrian, MSW
• Thomas G. Trudell, Inc.
• Thomas W Kneifel

• Health Educator in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.