Active NPI
Sanford Manor Psychology, PC
- Psychologist
- Glens Falls, NY
National Provider Identifier
1881890226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- SANFORD MANOR PSYCHOLOGY, PC
- Practice address
- 260 Sanford St
Glens Falls, NY 12801-2474 - Phone
- (518) 792-0208
- NPI assigned
- Jun 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret E. Gorthey
- Title
- Administrator
- Phone
- (518) 747-9407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
260 Sanford St
Glens Falls, NY 12801-2474
Mailing address
260 E. Sanford St.
Sanford Manor Psychology, PC
Glens Falls, NY 12801
Phone (518) 792-0208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
260 Sanford St
Queensbury, NY 12801
Phone (518) 792-0208
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Glens Falls, NY
- NPI 1588722862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881890226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 E. SANFORD ST.",
"address_2": "SANFORD MANOR PSYCHOLOGY, PC",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-792-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SANFORD ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128012474",
"telephone_number": "518-792-0208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFORD MANOR PSYCHOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GORTHEY",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "518-747-9407"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.