NPIMap

Organization Active NPI

Lasalle School

  • Children's Substance Abuse Rehabilitation Facility
  • Albany, NY
National Provider Identifier
1861664617
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
101110842 Issued in NY
Legal business name
LASALLE SCHOOL
Practice address
391 Western Ave
Albany, NY 12203-1491
Phone
(518) 242-4731
Fax
(518) 242-4744
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Mr. Mark R. Lahut
Title
Associate Executive Director
Phone
(518) 242-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 101110842 NY Primary

Addresses

Primary practice location

391 Western Ave
Albany, NY 12203-1491

Mailing address

391 Western Ave
Albany, NY 12203-1491
Phone (518) 242-4731

Other identifiers 1

IdentifierTypeStateIssuer
01439192MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Lasalle School3 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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1861664617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031491",
            "telephone_number": "518-242-4731",
            "fax_number": "518-242-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031491",
            "telephone_number": "518-242-4731",
            "fax_number": "518-242-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASALLE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "LAHUT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-242-4731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NY",
            "license": "101110842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01439192",
            "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 Apr 1, 2008; 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.