St. Peters Addiction Recovery Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ST. PETERS ADDICTION RECOVERY CENTER

Practice address

636 New Loudon Rd
Latham, NY 12110-4002

Phone

(518) 783-5381

Fax

(518) 783-0125

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Tom Bendon

Title

Program Manager

Phone

(518) 783-5381

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1407097389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104002",
            "telephone_number": "518-783-5381",
            "fax_number": "518-783-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104002",
            "telephone_number": "518-783-5381",
            "fax_number": "518-783-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERS ADDICTION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "BENDON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "518-783-5381"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Peter'S Health Partners Medical Associates, PC
• St. Peter'S Health Partners Medical Associates, PC
• St. Peter'S Hospital of the City of Albany
• St. Peter'S Hospital of the City of Albany
• St. Peter'S Hospitalof the City of Albany
• Candice Elise Stahl, FNP-BC
• Adam Donald Stallmer, MD
• Katherine L Stam, DO
• George O Stasior, MD
• Alexa State

• Case Management Agency in Latham, NY
• Providers in Latham, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.