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Contact Information

CAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC
20 CENTURY HILL DRIVE
SUITE 202
LATHAM, NY12110
 Phone: 518-785-7283
 Fax: 518-785-7293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC

NPI Number 1215152962
LBN Legal business name CAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC
Authorized official NANCY NICHOLSON - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2007
Last updated 05/31/2016 - About 10 years ago
Identifiers
NY License # 012019
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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