Individual provider Active NPI

Donald Webber Jr.

  • Peer Specialist
  • Hudson, NY
National Provider Identifier
1942657218
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
NYCPS-P 426 Issued in NY
Practice address
713 Union St
Hudson, NY 12534-3001
Phone
(518) 943-0176
NPI assigned
May 17, 2016
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NYCPS-P 426 NY Primary

Addresses

Primary practice location

713 Union St
Hudson, NY 12534-3001

Mailing address

PO Box 126
452 Church Rd.
Livingston, NY 12541-0126
Phone (518) 943-0176

Other identifiers 1

IdentifierTypeStateIssuer
NYCPS-P426OtherNYNEW YORK PEER SPECIALIST CERTIFICATION BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NYCPS-P 426NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Association of Columbia - Greene Counties Inc. PastSince Mar 20, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1942657218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "address_2": "452 CHURCH RD.",
            "city": "LIVINGSTON",
            "state": "NY",
            "postal_code": "125410126",
            "telephone_number": "518-943-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 UNION ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343001",
            "telephone_number": "518-943-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-P 426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK PEER SPECIALIST CERTIFICATION BOARD",
            "identifier": "NYCPS-P426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.