Organization Active NPI

St. Peter'S Health Care

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Latham, NY
National Provider Identifier
1659443000
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
000764 Issued in NY
Legal business name
ST. PETER'S HEALTH CARE
Practice address
636 New Loudon Rd
Latham, NY 12110-4002
Phone
(518) 783-5381
Fax
(518) 783-0125
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia L. Cole, CASAC, LMHC
Title
Senior Counselor
Phone
(518) 783-5381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 000764 NY Primary

Addresses

Primary practice location

636 New Loudon Rd
Latham, NY 12110-4002

Mailing address

636 New Loudon Rd
Latham, NY 12110-4002
Phone (518) 783-5381

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659443000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104002",
            "telephone_number": "518-783-5381",
            "fax_number": "518-783-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104002",
            "telephone_number": "518-783-5381",
            "fax_number": "518-783-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SENIOR COUNSELOR",
        "authorized_official_telephone_number": "518-783-5381",
        "authorized_official_credential": "CASAC, LMHC"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NY",
            "license": "000764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.