Plattsburgh State Tbi

LBN: Plattsburgh State Tbi
Plattsburgh State Tbi is an health care organization with primary practice located at 101 Broad St Psychology Dept, Plattsburgh NY 12901-2637. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Plattsburgh State Tbi can be contacted via phone (518) 564-3137, or through Ryan, Jeanne P. via phone (518) 564-3387.

Contact Information

Primary practice address
101 Broad St Psychology Dept Plattsburgh NY 12901-2637
Phone: (518) 564-3137
Fax: (518) 564-3397
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Jeanne P. PH.D.
Phone: (518) 564-3387

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1578623575
LBN Legal business name Plattsburgh State Tbi
DBA Doing business as
Authorized official Ryan, Jeanne P. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578623575 NPPES
New York MEDICAID 01783797

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