NPIMap

Organization Active NPI

Nysomh/Capital District Psychiatric Center

  • Chronic Disease Hospital
  • Albany, NY
National Provider Identifier
1841304284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
400371 Issued in NY
Legal business name
NYSOMH/CAPITAL DISTRICT PSYCHIATRIC CENTER
Practice address
175 Central Ave
Albany, NY 12206-2937
Phone
(518) 436-4462
Fax
(518) 436-4558
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shirley Staley, MS NPP
Title
Director of Nursing
Phone
(518) 447-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 400371 NY Primary

Addresses

Primary practice location

175 Central Ave
Albany, NY 12206-2937

Mailing address

175 Central Ave
Albany, NY 12206-2937
Phone (518) 436-4462

Other identifiers 1

IdentifierTypeStateIssuer
02341335MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Middletown Psychiatric Center146 organizations share this tax ID, including this one

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

175 Central Ave
Albany, NY 12206
Phone (518) 436-4462

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841304284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062937",
            "telephone_number": "518-436-4462",
            "fax_number": "518-436-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062937",
            "telephone_number": "518-436-4462",
            "fax_number": "518-436-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSOMH/CAPITAL DISTRICT PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "518-447-9611",
        "authorized_official_credential": "MS NPP"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NY",
            "license": "400371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02341335",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.