Organization Active NPI

Dr Kevin George, Incorporated

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1407366057
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DR KEVIN GEORGE, INCORPORATED
Practice address
1510 Central Ave Ste 375
Albany, NY 12205-5094
Phone
(518) 458-2481
Fax
(518) 489-4149
NPI assigned
Oct 10, 2017
Last updated
Oct 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Kevin Wayne George, MDNPI 1104816487
Title
Ceo
Phone
(518) 867-5319

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1510 Central Ave Ste 375
Albany, NY 12205-5094

Mailing address

30 Karner Rd Unit 13385
Albany, NY 12212-7259
Phone (518) 608-4476

National Provider Directory

National Provider Directory

Locations

1510 Central Ave
Ste 375
Albany, NY 12205
Phone (518) 458-2481

30 Karner Rd
Unit 13385
Albany, NY 12212
Phone (518) 458-2481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1407366057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KARNER RD UNIT 13385",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122127259",
            "telephone_number": "518-608-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CENTRAL AVE STE 375",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055094",
            "telephone_number": "518-458-2481",
            "fax_number": "518-489-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEVIN GEORGE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-867-5319",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "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 Oct 10, 2017; 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.