CONIFER PARK, INC.
NPI 1649225897
Clinic/Center - Rehabilitation, Substance Use Disorder in Schenectady, NY

NPI Status: Active since May 24, 2006

Contact Information

600 FRANKLIN ST
SCHENECTADY, NY
ZIP 12305
Phone: (518) 372-7031
Fax: (518) 372-7064

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 33D2028447
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About CONIFER PARK, INC.

This page provides the complete NPI Profile along with additional information for Conifer Park, Inc., a provider established in Schenectady, New York operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1649225897 assigned on May 2006. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ms. Tammy Smith (Director, Op Billing Dept)

NPI
1649225897
Provider Name
CONIFER PARK, INC.
Entity Type
Organization
Location Address
600 FRANKLIN ST SCHENECTADY, NY 12305
Location Phone
(518) 372-7031
Location Fax
(518) 372-7064
Mailing Address
PO BOX 10092 ALBANY, NY 12201
Mailing Phone
(589) 528-4085
Mailing Fax
(518) 372-7064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2006
Last Update Date
04-29-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TAMMY SMITH

Authorized Official Title
DIRECTOR, OP BILLING DEPT
Authorized Official Phone
(518) 952-8408

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01420800MEDICAID (05)NY 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 472 times for 16 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

This service was performed 449 times for 16 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2028447
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
August 17, 2011
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MOHAMMAD ISMAIL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Conifer Park, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CONIFER PARK, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649225897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26894210818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 2 + 1 + 0 + 8 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1649225897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467472852DR. EMILIO B. RUELOS M.D.
Individual
Psychiatry & Neurology (Psychiatry)600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1508886631 MAGGIE A. WILLIS L.C.S.W.
Individual
Social Worker (Clinical)600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1699855320 BRIGETTE HARTMAN-DECENZO L.C.S.W.
Individual
Social Worker (Clinical)600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1700960705DR. RUSSELL ALAN FRICKE M.D.
Individual
Family Medicine600 FRANKLIN ST SUITE 106
SCHENECTADY, NY 12305
(518) 346-2187
1831396373 MICHAEL J MANSKY L.A.D.C.-P
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1942462775 SUSAN L FRYER R.N.
Individual
Registered Nurse600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1659534345 MUHAMMAD A BASHEER CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1982867677 DONNA M WALKER CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1588827265 SAMUEL S HICKMAN CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1346403599 PETER F GRAY CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1730342874 DAVID L KAZEL CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1114176377 DAVID DOWNING CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1720228703 PATRICK WRIGHT
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 952-8140
1679801799 JULIANNE BROWN
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1760786917 DONALD BISHOP CRC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1750673588 MEAGAN RIVENBURGH CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1114213345 FELICIA FRALEY CIT
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1730466343 LAUREN NARKIEWICZ CASAC-T
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1578830691 KAREN VANVALKENBURGH CASAC
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031
1144599507 TERRENCE CONNOR
Individual
Counselor (Addiction (Substance Use Disorder))600 FRANKLIN ST
SCHENECTADY, NY 12305
(518) 372-7031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649225897, enumerated in the NPI registry as an "organization" on May 24, 2006

The provider is located at 600 Franklin St Schenectady, Ny 12305 and the phone number is (518) 372-7031

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm and Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure.

The provider's CLIA number is 33D2028447 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.