Healthcare Provider Details

I. General information

NPI: 1740731272
Provider Name (Legal Business Name): KATHERINE ALBRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 NEW SCOTLAND AVENUE CAPITAL DISTRICT PSYCHIATRIC CENTER
ALBANY NY
12208-3474
US

IV. Provider business mailing address

75 NEW SCOTLAND AVENUE CAPITAL DISTRICT PSYCHIATRIC CENTER
ALBANY NY
12208-3474
US

V. Phone/Fax

Practice location:
  • Phone: 518-549-6000
  • Fax:
Mailing address:
  • Phone: 518-549-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number8901478
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: