Cfdshc, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CFDSHC, INC

Doing business as

Center Health Care

Practice address

314 South Manning Blvd
Albany, NY 12208-1708

Phone

(518) 437-5900

Fax

(518) 437-5756

NPI assigned

Nov 9, 2017

Last updated

Oct 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Nicole Kansas-Devine, MD

Title

Ceo

Phone

(518) 437-5535

Specialties & licenses 3

Addresses

Other names 1

• Center Health Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1770096984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 SOUTH MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081708",
            "telephone_number": "518-437-5900",
            "fax_number": "518-437-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SOUTH MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081708",
            "telephone_number": "518-437-5900",
            "fax_number": "518-437-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFDSHC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "KANSAS-DEVINE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-437-5535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "0101203R",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "0101203R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neil J Cervera, LCSW, PH.D.
• Maria Cervini-Bekdes, MA-LMHC
• Alexandra Cervini, RD, RDN
• Kirsten K. Cestaro, MD
• John Cevera, MD
• Cfdshc, Inc
• Jijin Thomas Chacko, M.D.
• Harinderpal Singh Chahal, DDS
• Johnny Chahine, MD
• McKenzie Chainyk-Driggers, LMHC

• Federally Qualified Health Center (FQHC) in Albany, NY
• Providers in Albany, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.