NPIMap

Organization Active NPI

Tara a Burke Muscatello NP Psychiatry PLLC

  • Multi-Specialty Clinic/Center
  • Clifton Park, NY
National Provider Identifier
1366102444
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TARA A BURKE MUSCATELLO NP PSYCHIATRY PLLC
Practice address
56 Clifton Country Road
Suite 100
Clifton Park, NY 12065-3994
Phone
(518) 782-3815
Fax
(323) 334-1415
NPI assigned
Dec 30, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TARA A BURKE MUSCATELLO NP PSYCHIATRY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Tara A Burke Muscatello, NPNPI 1316599863
Title
Owner
Phone
(518) 782-3815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

56 Clifton Country Road
Suite 100
Clifton Park, NY 12065-3994

Mailing address

56 Clifton Country Road
Suite 100
Clifton Park, NY 12065-3994
Phone (518) 782-3815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104002289 NY Part B Supplier - Clinic/Group Practice 6901297811 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton Park, NY

National Provider Directory

National Provider Directory
Part of
Tara a Burke-Muscatello NP Psychiatry PLLC

Locations

56 Clifton Country Rd
Ste 100
Clifton Park, NY 12065
Phone (518) 334-6989

Practitioners & affiliated clinicians

Practitioners 4

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1366102444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY ROAD",
            "address_2": "SUITE 100",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653994",
            "telephone_number": "518-782-3815",
            "fax_number": "323-334-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY ROAD",
            "address_2": "SUITE 100",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653994",
            "telephone_number": "518-782-3815",
            "fax_number": "323-334-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA A BURKE MUSCATELLO NP PSYCHIATRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARA A BURKE MUSCATELLO NP PSYCHIATRY PLLC",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BURKE MUSCATELLO",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-782-3815",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.