NPIMap

Organization Active NPI

Joseph Ippolito

Doing business as Pinnacle Behavioral Health, IPA, LLC

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1720490949
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R052311-1 Issued in NY
Legal business name
JOSEPH IPPOLITO
Doing business as
Pinnacle Behavioral Health, IPA, LLC
Practice address
10 McKown Rd Ste 102
Albany, NY 12203-3496
Phone
(518) 869-0214
Fax
(518) 689-0214
NPI assigned
May 22, 2014
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Mr. Joseph Steven Ippolito, LCSW-R
Title
Licensed Clinical Social Worker
Phone
(518) 689-0244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R052311-1 NY Primary

Addresses

Primary practice location

10 McKown Rd Ste 102
Albany, NY 12203-3496

Mailing address

10 McKown Rd Ste 102
Albany, NY 12203-3496
Phone (518) 869-0214

Other names 1

  • Pinnacle Behavioral Health, IPA, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joseph Ippolito2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1720490949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCKOWN RD STE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-869-0214",
            "fax_number": "518-689-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCKOWN RD STE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-869-0214",
            "fax_number": "518-689-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH IPPOLITO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "IPPOLITO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "518-689-0244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R052311-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Behavioral Health, IPA, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Behavioral Health, IPA, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.