NPIMap

Organization Active NPI

St. Peter'S Addiction Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Albany, NY
National Provider Identifier
1487975645
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ST. PETER'S ADDICTION RECOVERY CENTER
Practice address
845 Central Ave
South 3
Albany, NY 12206-1514
Phone
(518) 482-2455
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mrs. Morningstar Vannier, MSWNPI 1780905950
Title
Social Worker
Phone
(518) 482-2455

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

845 Central Ave
South 3
Albany, NY 12206-1514

Mailing address

845 Central Ave
South 3
Albany, NY 12206-1514
Phone (518) 482-2455

National Provider Directory

National Provider Directory
Tax ID family
Robert W Kelty25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

845 Central Ave
#3
Albany, NY 12206
Phone (518) 458-8888

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1487975645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "address_2": "SOUTH 3",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-482-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "address_2": "SOUTH 3",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-482-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S ADDICTION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "VANNIER",
        "authorized_official_first_name": "MORNINGSTAR",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "518-482-2455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "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 Jun 22, 2010; 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.