Albany Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ALBANY BEHAVIORAL HEALTH

Practice address

721 Madison Avenue
Albany, NY 12208-3301

Phone

(518) 729-2126

Fax

(518) 729-2127

NPI assigned

Oct 11, 2021

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Angela Rosalee Lewin

Title

Ceo

Phone

(518) 729-2126

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Albany Behavioral Health LLC Former legal business name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

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.

• Jennifer Logan, MSN APRN FNP PMHNP

  • Family Nurse Practitioner
  • Albany, NY
  • NPI 1790410603

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Winell Jenetta Soures, LCSW-R, SAP, MSW,MA

  • Clinical Social Worker
  • Albany, NY
  • NPI 1336433846
  Medicare reassignment Care Compare group NPD
• James Brian Avalo, CASAC LEVEL 2

  • Addiction (Substance Use Disorder) Counselor
  • Albany, NY
  • NPI 1710665245
  NPD
• Marilyn Yvette Breeden, LMSW

  • Social Worker
  • Albany, NY
  • NPI 1265248462
  NPD
• Amy McElrath

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1013590132
  NPD
• Michael Starr, LMSW

  • Social Worker
  • Albany, NY
  • NPI 1144911389
  NPD
• Tracy Leigh Posdzich

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1811393069
  NPD (past)
• Kathy Ann Staley-Ross, MHC-P

  • Mental Health Counselor
  • Albany, NY
  • NPI 1104736073
  NPD (past)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1609538214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 MADISON AVENUE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083301",
            "telephone_number": "518-729-2126",
            "fax_number": "518-729-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MADISON AVENUE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083301",
            "telephone_number": "518-729-2126",
            "fax_number": "518-729-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-06-03",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "LEWIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ROSALEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-729-2126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04561304",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@albanybehavioralhealthllc.com",
            "affiliation": "N",
            "endpointDescription": "Behavioral Health Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "721 Madison Ave",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@albanybehavioralhealthllc.com",
            "affiliation": "N",
            "address_1": "721 Madison Ave",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Albany Behavioral Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Albany, NY
• Providers in Albany, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.