Advanced Psychiatry & Addiction Treatment Center LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Albany, NY
NPI 1962275149 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1962275149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ADVANCED PSYCHIATRY & ADDICTION TREATMENT CENTER LLC
- Practice address
- 418 Broadway # 4876
Albany, NY 12207-2922 - Phone
- (817) 230-3994
- NPI assigned
- Oct 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Miss Olivier Djoumessi
- Title
- Owner
- Phone
- (817) 230-3994
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Advanced Psychiatry Addiction Treatment Center LLC
Locations
418 Broadway
#4876
Albany, NY 12207
Phone (817) 230-3994
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
418 Broadway # 4876
Albany, NY 12207-2922
Mailing address
418 Broadway # 4876
Albany, NY 12207-2922
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.