Organization Active NPI

Kerry Coons

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Schenectady, NY
National Provider Identifier
1548701154
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
009065-1 Issued in NY
Legal business name
KERRY COONS
Practice address
481 Bradford Rd
Schenectady, NY 12304-3721
Phone
(518) 320-6386
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Kerry L Coons, COTA/L
Title
Cota
Phone
(518) 320-6386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 009065-1 NY Primary

Addresses

Primary practice location

481 Bradford Rd
Schenectady, NY 12304-3721

Mailing address

481 Bradford Rd
Schenectady, NY 12304
Phone (518) 320-6386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1548701154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 BRADFORD RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12304",
            "telephone_number": "518-320-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 BRADFORD RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043721",
            "telephone_number": "518-320-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY COONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "COONS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "518-320-6386",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "009065-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 15, 2017; 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.