Individual provider Active NPI

Lisa Zawalski, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1780631341
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400743-1 Issued in NY
Practice address
1 Pinnacle Place Suite 102
Pinnacle Behavioral Health
Albany, NY 12203-3001
Phone
(518) 689-0244
Fax
(518) 689-0241
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP81195 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400743-1 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2297629 MA

Addresses

Primary practice location

1 Pinnacle Place Suite 102
Pinnacle Behavioral Health
Albany, NY 12203-3001

Mailing address

246 S 3Rd Ave
Ilion, NY 13357-2402
Phone (207) 812-2761

Other identifiers 1

IdentifierTypeStateIssuer
432184599OtherMEMAINECARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP81195MEMDPsychiatric/Mental Health Nurse Practitioner
F400743-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Behavioral Health Ipa PLLC PastSince Jan 1, 2006 Accepting new patients
Protea Behavioral Health Services Past Accepting new patients
Pinnacle Behavioral Health Past Accepting new patients
Blue Hill Psychiatric Services LLC Past Accepting new patients
Cornerstone Behavioral Healthcare, LLC Past Accepting new patients
Sweetser PastSince Mar 12, 2012 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1780631341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S 3RD AVE",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133572402",
            "telephone_number": "207-812-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINNACLE PLACE SUITE 102",
            "address_2": "PINNACLE BEHAVIORAL HEALTH",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033001",
            "telephone_number": "518-689-0244",
            "fax_number": "518-689-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWALSKI",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP81195",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400743-1",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2297629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE NUMBER",
            "identifier": "432184599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 26, 2014; 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.