Organization Active NPI

The Charlton School

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Burnt Hills, NY
National Provider Identifier
1336296078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
00A00390 Issued in NY
Legal business name
THE CHARLTON SCHOOL
Practice address
322 Lakehill Rd.
Burnt Hills, NY 12027-0047
Phone
(518) 399-8182
Fax
(518) 399-8195
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Donald Marshall, L.C.S.W.
Title
Executive Director
Phone
(518) 399-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 00A00390 NY Primary

Addresses

Primary practice location

322 Lakehill Rd.
Burnt Hills, NY 12027-0047

Mailing address

PO Box 47
Burnt Hills, NY 12027-0047
Phone (518) 399-8182

Other identifiers 1

IdentifierTypeStateIssuer
00353526MedicaidNY

National Provider Directory

National Provider Directory

Locations

322 Lake Hill Rd
Burnt Hills, NY 12027
Phone (518) 399-8182

Practitioners & affiliated clinicians

Practitioners 1

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336296078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120270047",
            "telephone_number": "518-399-8182",
            "fax_number": "518-399-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAKEHILL RD.",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120270047",
            "telephone_number": "518-399-8182",
            "fax_number": "518-399-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLTON SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-399-8182",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "00A00390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, 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.