Organization Active NPI

Four Winds - Saratoga Out-Patient Psychiatric Service, P.C.

  • Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1336146901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FOUR WINDS - SARATOGA OUT-PATIENT PSYCHIATRIC SERVICE, P.C.
Practice address
30 Crescent Ave
Saratoga Springs, NY 12866-5142
Phone
(518) 584-3600
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry Weinstein, CPA
Title
Cfo
Phone
(914) 763-8151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

30 Crescent Ave
Saratoga Springs, NY 12866-5142

Mailing address

30 Crescent Ave
Saratoga Springs, NY 12866-5142
Phone (518) 584-3600

National Provider Directory

National Provider Directory

Locations

30 Crescent Ave
Saratoga Springs, NY 12866
Phone (518) 584-3600

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336146901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CRESCENT AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665142",
            "telephone_number": "518-584-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CRESCENT AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665142",
            "telephone_number": "518-584-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS - SARATOGA OUT-PATIENT PSYCHIATRIC SERVICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "914-763-8151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • 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.