NPIMap

Organization Active NPI

State of New York Comptrollers Office

  • Community/Behavioral Health Agency
  • Wassaic, NY
National Provider Identifier
1821768367
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STATE OF NEW YORK COMPTROLLERS OFFICE
Practice address
26 Center Cir
Wassaic, NY 12592-2637
Phone
(845) 877-6821
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NYS OPWDDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Earl Raymond Jefferson
Title
Director of Central Operations
Phone
(518) 402-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

26 Center Cir
Wassaic, NY 12592-2637

Mailing address

44 Holland Ave
Albany, NY 12208-3411
Phone (518) 402-4333

Other names 1

  • Taconic DDSO Other name

National Provider Directory

National Provider Directory
Tax ID family
Ibr Consolidated Lab Rev269 organizations share this tax ID, including this one
Part of
Ibr Consolidated Lab Rev

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

26 Center Cir
Wassaic, NY 12592
Phone (845) 877-6821

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1821768367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083411",
            "telephone_number": "518-402-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CENTER CIR",
            "city": "WASSAIC",
            "state": "NY",
            "postal_code": "125922637",
            "telephone_number": "845-877-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYS OPWDD",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR OF CENTRAL OPERATIONS",
        "authorized_official_telephone_number": "518-402-4333"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taconic DDSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wassaic, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.