Healthcare Provider Details

I. General information

NPI: 1023177334
Provider Name (Legal Business Name): THREAT ASSESSMENT & RISK MANAGEMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 WESTERN AVE
ALBANY NY
12203-2799
US

IV. Provider business mailing address

980 WESTERN AVE
ALBANY NY
12203-2799
US

V. Phone/Fax

Practice location:
  • Phone: 518-439-2379
  • Fax:
Mailing address:
  • Phone: 518-439-2379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN PRICE
Title or Position: OWNER
Credential: MD
Phone: 518-439-2379