Hudson Mohawk Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

090510570 Issued in NY

Legal business name

HUDSON MOHAWK RECOVERY CENTER

Practice address

1724 5TH Ave
Troy, NY 12180-3320

Phone

(518) 272-3918

Fax

(518) 272-6391

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tom Bendon

Title

Executive Director

Phone

(518) 272-3918

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Hudson Mohawk Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hudson Mohawk Recovery Center Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Troy, NY
  • NPI 1275082562
  NPD tax ID
• Irectorhudson Mohawk Recovery Center

  • Community/Behavioral Health Agency
  • Troy, NY
  • NPI 1528403102
  NPD tax ID

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1851452767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803320",
            "telephone_number": "518-272-3918",
            "fax_number": "518-272-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803320",
            "telephone_number": "518-272-3918",
            "fax_number": "518-272-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MOHAWK RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "BENDON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-272-3918",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NY",
            "license": "090510570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP INSURANCE",
            "identifier": "900267",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Lynn Houser, FNP-C
• Jacquelyn Hout-Ross, LCSW
• Michael Hoyt
• Camilla Hren
• Kara Eileen Huber
• Hudson Mohawk Recovery Center Inc
• Hudson Valley Plaza Dental LLP
• Emily Huff, MPH, MSW
• Amanda Hughes, NP-C MSC OCN
• Karyn M Hughes, D.O.

• Substance Use Disorder Rehabilitation Hospital Unit in Troy, NY
• Providers in Troy, NY by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.