Organization Active NPI

Resurrection Ministries

Doing business as Compassion In Action Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, NY
National Provider Identifier
1578834081
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESURRECTION MINISTRIES
Doing business as
Compassion In Action Behavioral Health
Practice address
553 Clinton Ave
Albany, NY 12206-2738
Phone
(518) 689-0282
Fax
(518) 689-0283
NPI assigned
Jan 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Mr. Robert Paeglow II
Title
Chief Operating Officer
Phone
(518) 689-0282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NY Primary

Addresses

Primary practice location

553 Clinton Ave
Albany, NY 12206-2738

Mailing address

553 Clinton Ave
Albany, NY 12206-2738
Phone (518) 689-0282

Other names 1

  • Compassion In Action Behavioral Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1578834081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 CLINTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062738",
            "telephone_number": "518-689-0282",
            "fax_number": "518-689-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 CLINTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062738",
            "telephone_number": "518-689-0282",
            "fax_number": "518-689-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "PAEGLOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "518-689-0282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion In Action Behavioral Health",
            "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 Jan 16, 2012; 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.