NPIMap

Organization Active NPI

Trauma and Addictions Recovery Assoc.

Doing business as Tara

  • Clinical Psychologist
  • Schenectady, NY
National Provider Identifier
1457539041
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011270 Issued in NY
Legal business name
TRAUMA AND ADDICTIONS RECOVERY ASSOC.
Doing business as
Tara
Practice address
801 Bedford Rd
Schenectady, NY 12308-3407
Phone
(518) 395-9187
Fax
(518) 346-0292
NPI assigned
Feb 5, 2008
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Rosemarie Dorothea Amendolia, PHDNPI 1205980489
Title
Executive Director
Phone
(518) 395-9187

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
Clinical Psychologist 103TC0700X 011270 NY Primary

Addresses

Primary practice location

801 Bedford Rd
Schenectady, NY 12308-3407

Mailing address

801 Bedford Rd
Schenectady, NY 12308-3407
Phone (518) 395-9187

Other identifiers 1

IdentifierTypeStateIssuer
01787677MedicaidNY

Other names 1

  • TARA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1457539041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BEDFORD RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083407",
            "telephone_number": "518-395-9187",
            "fax_number": "518-346-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BEDFORD RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083407",
            "telephone_number": "518-395-9187",
            "fax_number": "518-346-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA AND ADDICTIONS RECOVERY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "AMENDOLIA",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "DOROTHEA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-395-9187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01787677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.