Captain Community Human Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAPTAIN COMMUNITY HUMAN SERVICES, INC.

Practice address

5 Municipal PLZ Ste 3
Clifton Park, NY 12065-3979

Phone

(518) 371-1185

Fax

(518) 383-7997

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Andrew John Gilpin

Title

Associate Executive Director

Phone

(518) 371-1185

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1396388807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MUNICIPAL PLZ STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653979",
            "telephone_number": "518-371-1185",
            "fax_number": "518-383-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MUNICIPAL PLZ STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653979",
            "telephone_number": "518-371-1185",
            "fax_number": "518-383-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTAIN COMMUNITY HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "GILPIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-371-1185"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andy@captaincares.org",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Municipal Plz Ste 3",
            "city": "Clifton Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120653979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Community/Behavioral Health Agency in New York

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