Sun River Health Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

5901200R Issued in NY

Legal business name

SUN RIVER HEALTH INC

Practice address

7 Market St
Dover Plains Hudson Valley Mental Health
Dover Plains, NY 12522-5172

Phone

(845) 877-4100

Fax

(845) 877-3139

NPI assigned

Oct 16, 2013

Last updated

Mar 14, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SUN RIVER HEALTH INCAs reported in NPPES

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

Authorized official

Name

Adam K. Lipton

Title

VP Info/Practice MGMT Systems

Phone

(914) 384-2375

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dover Plains Hudson Valley Mental Health Other name

Part of

Michael J Gallina

Locations

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1801224548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5036",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106025036",
            "telephone_number": "914-734-8858",
            "fax_number": "914-734-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARKET ST",
            "address_2": "DOVER PLAINS HUDSON VALLEY MENTAL HEALTH",
            "city": "DOVER PLAINS",
            "state": "NY",
            "postal_code": "125225172",
            "telephone_number": "845-877-4100",
            "fax_number": "845-877-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RIVER HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN RIVER HEALTH INC",
        "enumeration_date": "2013-10-16",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "LIPTON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "VP INFO/PRACTICE MGMT SYSTEMS",
        "authorized_official_telephone_number": "914-384-2375"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "5901200R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dover Plains Hudson Valley Mental Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dover Plains Hudson Valley Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jean M Simone, LMSW
• Mark S Smalec, JD
• Nancy Spataro
• Cynthia Jean Summers, RN
• Sun River Health Inc
• Gloria Jeane Tatsapaugh, FNP
• Nicolette Rose Tigno, OTR/L
• April Tompkins
• Towns of Dover Amenia Washington & Unionvale Union Free School Board O
• Peggy Sue Tryonoviech, LPN

• Federally Qualified Health Center (FQHC) in Dover Plains, NY
• Providers in Dover Plains, 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 Mar 14, 2022; 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.