Organization Active NPI

Mental Health Association of Columbia - Greene Counties Inc.

  • Voluntary or Charitable Agency
  • Hudson, NY
National Provider Identifier
1700938560
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
00586741 Issued in NY
Legal business name
MENTAL HEALTH ASSOCIATION OF COLUMBIA - GREENE COUNTIES INC.
Practice address
713 Union St
Hudson, NY 12534
Phone
(518) 828-4619
Fax
(518) 828-1196
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Mr. Michael H. GelfandNPI 1295447399
Title
Director of Quality Assurance
Phone
(518) 828-4619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 00586741 NY Primary

Addresses

Primary practice location

713 Union St
Hudson, NY 12534

Mailing address

713 Union St
Hudson, NY 12534-3001
Phone (518) 828-4619

Other identifiers 3

IdentifierTypeStateIssuer
00586741MedicaidNY
01305182MedicaidNY
02153299MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131106001300 NY Part B Supplier - Clinic/Group Practice 7416182043 Receives reassigned benefits from 2 practitioners
Practice locations: Catskill, NY; Hudson, NY

National Provider Directory

National Provider Directory

Locations

30 W Bridge St
Catskill, NY 12414
Phone (518) 943-0176

713 Union St
Hudson, NY 12534
Phone (518) 828-3327

Interoperability endpoints

  • Direct secure messaging: dlaw@mhacgc.medalliesdirect.net
  • Direct secure messaging: kconrad@mhacgc.medalliesdirect.net
  • Direct secure messaging: rdietrich@mhacgc.medalliesdirect.net
  • Direct secure messaging: ktaber@mhacgc.medalliesdirect.net
  • Direct secure messaging: sbaldauf@mhacgc.medalliesdirect.net
  • Direct secure messaging: pzollo@mhacgc.medalliesdirect.net
  • Direct secure messaging: abuonfiglio@mhacgc.medalliesdirect.net
  • Direct secure messaging: cmultari@mhacgc.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1700938560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 UNION ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343001",
            "telephone_number": "518-828-4619",
            "fax_number": "518-828-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 UNION ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-828-4619",
            "fax_number": "518-828-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF COLUMBIA - GREENE COUNTIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "GELFAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "518-828-4619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "00586741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00586741",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305182",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02153299",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.