WARREN WASHINGTON ASSOCIATION FOR MENTAL HEALTH INC NPI 1073549796

NPI Information

NPI: 1073549796
Provider Name: WARREN WASHINGTON ASSOCIATION FOR MENTAL HEALTH, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3043 STATE ROUTE 4
HUDSON FALLS, NY
ZIP 12839
Phone: (518) 747-2284
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WARREN WASHINGTON ASSOCIATION FOR MENTAL HEALTH, INC is a mental health (including community mental health center) clinic center in Hudson Falls, NY. WARREN WASHINGTON ASSOCIATION FOR MENTAL HEALTH, INC NPI is 1073549796. The provider is registered as an organization entity type.

The provider's business location address is:

3043 STATE ROUTE 4
HUDSON FALLS, NY
ZIP 12839-632
Phone: (518) 747-2284
Fax: (518) 747-2253

The provider's authorized official is Peter Groff .
The authorized official title is Ceo and has the following contact phone number (518) 747-2284.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 5/19/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
2	251B00000X	Case Management		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01305095	MEDICAID	NEW YORK
2	DF0629	OTHER		MEDICARE RAILROAD
3	55053A	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
4	01138352	MEDICAID	NEW YORK
5	01114832	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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