NPIMap

Organization Active NPI

820 River Street Inc.

Doing business as Eleanor Young Clinic

  • Substance Abuse Rehabilitation Facility
  • Albany, NY
National Provider Identifier
1447372289
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
820 RIVER STREET INC.
Doing business as
Eleanor Young Clinic
Practice address
134 Franklin St
Albany, NY 12202-1902
Phone
(518) 465-8034
NPI assigned
Apr 4, 2007
Last updated
Feb 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Mr. Peter Young, C.E.O
Title
Chief Operating Officer
Phone
(518) 377-2448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

134 Franklin St
Albany, NY 12202-1902

Mailing address

134 Franklin St
Albany, NY 12202-1902
Phone (518) 465-8034

Other identifiers 1

IdentifierTypeStateIssuer
03007114MedicaidNY

Other names 1

  • Eleanor Young Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
820 River Street Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

134 Franklin St
Albany, NY 12202
Phone (518) 465-8034

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1447372289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FRANKLIN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021902",
            "telephone_number": "518-465-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 FRANKLIN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021902",
            "telephone_number": "518-465-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "820 RIVER STREET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "518-377-2448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.E.O"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03007114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eleanor Young Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 24, 2015; 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.