The Addictions Care Center of Albany, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE ADDICTIONS CARE CENTER OF ALBANY, INC

Practice address

1044 Broadway
Albany, NY 12204

Phone

(518) 434-2367

Fax

(518) 434-2372

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith W Stack

Title

Executive Director

Phone

(518) 465-5470

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Albany Citizens Council on Alcoholism and Other Chemical Dependencies, Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1437101417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MCCARTY AVENUE",
            "address_2": "ADMINISTRATION-BLDG 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021151",
            "telephone_number": "518-465-5470",
            "fax_number": "518-427-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BROADWAY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-434-2367",
            "fax_number": "518-434-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041762",
            "country_code": "US",
            "telephone_number": "518-407-0564",
            "fax_number": "518-681-3726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 McCarty Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122021151",
            "country_code": "US",
            "telephone_number": "518-434-8083",
            "fax_number": "518-434-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ADDICTIONS CARE CENTER OF ALBANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-465-5470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040401001994",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "142863",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "341553",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "110056185001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01034239",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP / SPBHM",
            "identifier": "10056185",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1056910",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "341553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Citizens Council on Alcoholism and Other Chemical Dependencies,",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Albany Citizens Council on Alcoholism and Other Chemical Dependencies,",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Florence Elizabeth Tharman, AU.D
• Areeba Tharwani
• Alexis Marie Thayer, PHARMD
• Richard Dana Thayer, D.D.S.
• Sarah S Thayil, M.D.
• The Alternative Living Group, Inc.
• The Bodyworks Wellness Center Inc
• The Cataract Vision Institute LLC
• The Center for Rheumatology, LLP
• The College of Saint Rose

• Voluntary or Charitable Agency in Albany, NY
• Providers in Albany, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.