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NPI Code Detail

MEDICARE: NYS OFFICE OF MENTAL HEALTH

MEDICARE: NYS OFFICE OF MENTAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric HospitalNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528125069
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYS OFFICE OF MENTAL HEALTH
Provider Business Mailing Address
First Line : 44 HOLLAND AVE
Second Line :
City : ALBANY
State : NY
Zip : 12229-0001
Country : US
Telephone Number : 518-473-8234
Fax Number : 518-473-5167
Provider Business Practice Location Address
First Line : 75 NEW SCOTLAND AVE
Second Line :
City : ALBANY
State : NY
Zip : 12208-3409
Country : US
Telephone Number : 518-447-9611
Fax Number :
Authorized Official
Title or Position : DIRECTOR, FINANCE
Name : BETH GIARRUSSO
Credential :
Telephone Number : 518-473-3598
Provider Enumeration Date : 01/03/2007
Last Update Date : 04/10/2017

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1508981416 — STEVEN M KAM M.D., M.B.A.
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Directions to “NYS OFFICE OF MENTAL HEALTH ” Practice Location

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