Organization Active NPI

Center for Disability Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Troy, NY
National Provider Identifier
1740449776
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CENTER FOR DISABILITY SERVICES
Practice address
556 Pinewoods Ave
Troy, NY 12180-7141
Phone
(518) 437-5717
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Laura Gould
Title
Supervisor of Credentialing
Phone
(518) 437-5516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

556 Pinewoods Ave
Troy, NY 12180-7141

Mailing address

314 S Manning Blvd
Albany, NY 12208-1708

Other identifiers 1

IdentifierTypeStateIssuer
01060815MedicaidNY

Other names 1

  • Pinewoods Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Disability Services21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1740449776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 PINEWOODS AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121807141",
            "telephone_number": "518-437-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DISABILITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SUPERVISOR OF CREDENTIALING",
        "authorized_official_telephone_number": "518-437-5516"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01060815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinewoods",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.