St. Peter's Addiction and Recovery Center

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

139696387 Issued in NY

Legal business name

ST. PETER'S ADDICTION AND RECOVERY CENTER

Practice address

845 Central Ave
Albany, NY 12206-1514

Phone

(518) 482-2455

NPI assigned

Apr 20, 2015

Last updated

Apr 20, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. PETER'S HEALTH PARTNERSAs reported in NPPES

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

Authorized official

Name

Patrick Carese

Title

Ceo of Sparc Outpatient

Phone

(518) 452-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

St Peter's Addiction and Recovery Center

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1699162404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-482-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-482-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S ADDICTION AND RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. PETER'S HEALTH PARTNERS",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "CARESE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO OF SPARC OUTPATIENT",
        "authorized_official_telephone_number": "518-452-6700"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "139696387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "139696387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith St. Arromand
• St. Catherine's Center for Children
• St. Catherine's Center for Children
• Terri L St. George, LMHC
• St. Margarets Daylight
• St. Peter's Addiction Recovery Center
• St. Peter's Ambulatory Surgery Center LLC (St. Peter's Surgery & Endoscopy Center)
• St. Peter's Health Partners Medical Associates
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.

• Point of Service in Albany, NY
• Providers in Albany, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.