Vitality Physicians Group

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

087626 Issued in NY

Legal business name

VITALITY PHYSICIANS GROUP

Practice address

135 Woodlawn Ave
Albany, NY 12208-2912

Phone

(866) 931-9812

Fax

(866) 942-1556

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Cabisudo, M.D.

Title

Partner

Phone

(866) 931-9812

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judi Santopietro, M.A., L.M.H.C.

  • Mental Health Counselor
  • Albany, NY
  • NPI 1508073602
  NPD (past)
• John M. Torres-Greklek, LMSW,CASAC-M

  • Social Worker
  • Troy, NY
  • NPI 1053696054
  NPD (past)

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1659622710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WOODLAWN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082912",
            "telephone_number": "866-931-9812",
            "fax_number": "866-942-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WOODLAWN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082912",
            "telephone_number": "866-931-9812",
            "fax_number": "866-942-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "CABISUDO",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "866-931-9812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "087626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Association of Albany, Inc.
• Visiting Nurse Association of Albany, Inc.
• Lynn Jennifer Visker, LCSW
• Hanumappa Visweswaraiah
• Valerie Vitale
• Domenico Viterbo, MD
• Marco Diego Vitto, MD
• Jamie Guisela Vizcarra, D.O.
• Elizabeth Vlieg, PT
• Melissa Vliek

• All providers in Albany, NY
• Behavioral Neurology & Neuropsychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.