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PEARL STREET COUNSELING CENTER INC. NPI 1154406221


NPI Information

NPI: 1154406221
Provider Name: PEARL STREET COUNSELING CENTER, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
109 STATE ST
ALBANY, NY
ZIP 12207
Phone: (518) 462-4320
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PEARL STREET COUNSELING CENTER, INC. is a clinic center in Albany, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PEARL STREET COUNSELING CENTER, INC. NPI is 1154406221. The provider is registered as an organization entity type.

The provider's business location address is:

109 STATE ST
ALBANY, NY
ZIP 12207-622
Phone: (518) 462-4320
Fax: (518) 462-4360

The provider's authorized official is Guy Kuperman .
The authorized official title is Executive Director and has the following contact phone number (518) 462-4320.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center070611525NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102760438MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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