Organization Active NPI

Sage College Wellness Center - Albany

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1366847246
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Nov 4, 2014

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 - Albany2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.