NPIMap

Organization Active NPI

Irectorhudson Mohawk Recovery Center

  • Community/Behavioral Health Agency
  • Troy, NY
National Provider Identifier
1528403102
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
130510570 Issued in NY
Legal business name
IRECTORHUDSON MOHAWK RECOVERY CENTER
Practice address
1724 5TH Ave
Troy, NY 12180-3320
Phone
(518) 272-3918
Fax
(518) 272-6391
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Mr. Thomas Bendon, CASAC
Title
Director
Phone
(518) 272-3918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 130510570 NY Primary

Addresses

Primary practice location

1724 5TH Ave
Troy, NY 12180-3320

Mailing address

1724 5TH Ave
Troy, NY 12180-3320
Phone (518) 272-3918

National Provider Directory

National Provider Directory
Tax ID family
Hudson Mohawk Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1528403102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803320",
            "telephone_number": "518-272-3918",
            "fax_number": "518-272-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803320",
            "telephone_number": "518-272-3918",
            "fax_number": "518-272-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRECTORHUDSON MOHAWK RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "BENDON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-272-3918",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "130510570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.