State of New York Comptrollers Office

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

00275410 Issued in NY

Legal business name

STATE OF NEW YORK COMPTROLLERS OFFICE

Practice address

84 Camp Hill Rd
Copake, NY 12516-1400

Phone

(518) 329-4851

NPI assigned

Jul 8, 2009

Last updated

Dec 28, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF NEW YORK COMPTROLLERS OFFICEAs reported in NPPES

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

Authorized official

Name

Earl Jefferson

Title

Director of Central Operations

Phone

(510) 402-4333

Specialties & licenses 1

Addresses

Other names 1

• Taconic DDSO Other name

Part of

Wilton Devel Ctr Rev M

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1679702955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122290001",
            "telephone_number": "518-402-4333",
            "fax_number": "518-473-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CAMP HILL RD",
            "city": "COPAKE",
            "state": "NY",
            "postal_code": "125161400",
            "telephone_number": "518-329-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "enumeration_date": "2009-07-08",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR OF CENTRAL OPERATIONS",
        "authorized_official_telephone_number": "510-402-4333"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "00275410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taconic DDSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beverly H Kinne, N.P.
• Alison Remy Kochey, PT, DPT
• Patricia Margaret McClain, M.S., CCC-SLP
• Monique Rinere
• Margaret Ruth Rosenthaler, RN
• Alison Hicks Van Tassel, LCSW

• Developmental Disabilities Clinic/Center in Copake, NY
• Providers in Copake, NY by specialty
• Developmental Disabilities Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.