Active NPI
Sage College Wellness Center - Albany
- Psychiatric/Mental Health Nurse Practitioner
- Albany, NY
National Provider Identifier
1366847246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SAGE COLLEGE WELLNESS CENTER - ALBANY
- Practice address
- 140 NW Scotland Ave
Albany, NY 12208 - Phone
- (518) 292-1917
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Thayer
- Title
- Director Wellness Cent
- Phone
- (518) 292-1934
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
140 NW Scotland Ave
Albany, NY 12208
Mailing address
65 1St St
Troy, NY 12180
Phone (518) 292-1917
National Provider Directory
National Provider Directory- Tax ID family
- Sage College Wellness Center - Albany
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Troy, NY
- NPI 1033514930
Locations
140 New Scotland Ave
Albany, NY 12208
Phone (518) 292-1751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415059200000",
"number": "1366847246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 1ST ST",
"city": "TROY",
"state": "NY",
"postal_code": "12180",
"telephone_number": "518-292-1917",
"fax_number": "518-292-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-292-1917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE COLLEGE WELLNESS CENTER - ALBANY",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A",
"authorized_official_last_name": "THAYER",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "DIRECTOR WELLNESS CENT",
"authorized_official_telephone_number": "518-292-1934"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.