Organization Active NPI

Marilyn Von Dollen NP in Psychiatry LLC

  • Community/Behavioral Health Agency
  • Albany, NY
National Provider Identifier
1407038938
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
F400457-1 Issued in NY
Legal business name
MARILYN VON DOLLEN NP IN PSYCHIATRY LLC
Practice address
1471 Western Ave
Albany, NY 12203-3512
Phone
(518) 453-2280
Fax
(518) 453-2282
NPI assigned
Nov 27, 2007
Organization subpart
Yes
Parent organization
MARILYN VON DOLLEN NPP,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Ms. Marilyn Anne Von Dollen, RN,MS,NPPNPI 1801961669
Title
Nurse Practitioner in Psychiatry
Phone
(518) 453-2280

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X F400457-1 NY Primary

Addresses

Primary practice location

1471 Western Ave
Albany, NY 12203-3512

Mailing address

1471 Western Ave
Albany, NY 12203-3512
Phone (518) 453-2280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080623000089 NY Part B Supplier - Clinic/Group Practice 4789755547 Receives reassigned benefits from 1 practitioner
Practice locations: Rensselaer, NY

National Provider Directory

National Provider Directory
Part of
Marilyn Von Dollen NP in Psychiatry LLC

Locations

1471 Western Ave
Albany, NY 12203
Phone (518) 453-2280

321 Broadway
Rensselaer, NY 12144
Phone (518) 453-2280

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1407038938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033512",
            "telephone_number": "518-453-2280",
            "fax_number": "518-453-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033512",
            "telephone_number": "518-453-2280",
            "fax_number": "518-453-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN VON DOLLEN NP IN PSYCHIATRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARILYN VON DOLLEN NPP,LLC",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "VON DOLLEN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER IN PSYCHIATRY",
        "authorized_official_telephone_number": "518-453-2280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MS,NPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "F400457-1",
            "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 Jul 1, 2008; 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.