Active NPI
Research Foundation of State University of N.Y.
Doing business as Alzheimer's Disease Assistance Center
- Specialist
- Plattsburgh, NY
National Provider Identifier
1972718708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 015955
- Legal business name
- RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.
- Doing business as
- Alzheimer's Disease Assistance Center
- Practice address
- 101 Broad St.
Sibley Hall 227
Plattsburgh, NY 12901-2681 - Phone
- (518) 564-3377
- Fax
- (518) 564-2328
- NPI assigned
- May 14, 2007
- Last updated
- Nov 3, 2008
- Organization subpart
- Yes
- Parent organization
- RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Edwin Simpson
- Title
- Director, Sponsored Research & Prog
- Phone
- (518) 564-2155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015955 | NY | |
| Specialist | 174400000X | 015955 | NY | Primary |
Addresses
Primary practice location
101 Broad St.
Sibley Hall 227
Plattsburgh, NY 12901-2681
Mailing address
101 Broad St.
Sibley 227
Plattsburgh, NY 12901-2681
Phone (518) 564-3377
Other names 1
- Alzheimer's Disease Assistance Center
National Provider Directory
National Provider Directory- Part of
- Ctat University Buffalo
Locations
101 Broad St
#227
Plattsburgh, NY 12901
Phone (518) 564-3377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225670400000",
"number": "1972718708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BROAD ST.",
"address_2": "SIBLEY 227",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012681",
"telephone_number": "518-564-3377",
"fax_number": "518-564-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BROAD ST.",
"address_2": "SIBLEY HALL 227",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012681",
"telephone_number": "518-564-3377",
"fax_number": "518-564-2328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.",
"enumeration_date": "2007-05-14",
"last_updated": "2008-11-03",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "DIRECTOR, SPONSORED RESEARCH & PROG",
"authorized_official_telephone_number": "518-564-2155",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015955",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "015955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alzheimer's Disease Assistance Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.