MEDICARE: ALBANY COUNTY 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
1	261QM0850X	Adult Mental Health Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1952460990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBANY COUNTY MENTAL HEALTH

Provider Business Mailing Address
First Line	:	175 GREEN STREET
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12202-2011
Country	:	US
Telephone Number	:	518-447-4537
Fax Number	:	518-447-4661

Provider Business Practice Location Address
First Line	:	260 SOUTH PEARL STREET
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12202-2011
Country	:	US
Telephone Number	:	518-447-4555
Fax Number	:	518-447-4661

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. ROBIN E SIEGAL
Credential	:	PHD
Telephone Number	:	518-447-4537

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	08/22/2020

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Directions to “ALBANY COUNTY MENTAL HEALTH ” Practice Location

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