Organization Active NPI

Prevention Healthcare Services Inc

  • Clinical Medical Laboratory
  • Poughkeepsie, NY
National Provider Identifier
1790304285
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PREVENTION HEALTHCARE SERVICES INC
Practice address
715 Freedom Plains Rd
Poughkeepsie, NY 12603-2688
Phone
(877) 541-8075
NPI assigned
Apr 14, 2020
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Sharly CampbellNPI 1710523428
Title
Owner
Phone
(877) 541-8075

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

715 Freedom Plains Rd
Poughkeepsie, NY 12603-2688

Mailing address

5 Sommerset Dr
Poughkeepsie, NY 12603-6712

National Provider Directory

National Provider Directory

Locations

488 Freedom Plains Rd
Ste 122
Poughkeepsie, NY 12603
Phone (845) 454-1104

715 Freedom Plains Rd
Poughkeepsie, NY 12603
Phone (845) 483-9500

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1790304285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SOMMERSET DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FREEDOM PLAINS RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032688",
            "telephone_number": "877-541-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-541-8075"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.