Healthcare Provider Details

I. General information

NPI: 1487841391
Provider Name (Legal Business Name): NORTHEAST PARENT AND CHILD SOCIETY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 FRANKLIN ST 3RD FLOOR
SCHENECTADY NY
12305-2011
US

IV. Provider business mailing address

60 ACADEMY RD
ALBANY NY
12208-3103
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-1284
  • Fax: 518-372-2869
Mailing address:
  • Phone: 518-426-2600
  • Fax: 518-372-2869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number03A1093
License Number StateNY

VIII. Authorized Official

Name: CHRISTINE DIMAIO
Title or Position: CFO
Credential:
Phone: 518-426-2600