Organization 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
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
015955 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.