BAYWOOD CLINIC
NPI 1700908530
Substance Abuse Rehabilitation Facility in Queensbury, NY

NPI Status: Active since April 04, 2007

Contact Information

551 BAY RD
QUEENSBURY, NY
ZIP 12804
Phone: (518) 798-4221

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 33D2321530
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About BAYWOOD CLINIC

This page provides the complete NPI Profile along with additional information for Baywood Clinic, a provider established in Queensbury, New York operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1700908530 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Baywood Clinic. The authorized official of this NPI record is Mr. Peter Young C.e.o. (Chief Operating Officer)

NPI
1700908530
Provider Legal Name
820 RIVER STREET INC.
Other Organization Name
BAYWOOD CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
551 BAY RD QUEENSBURY, NY 12804
Location Phone
(518) 798-4221
Mailing Address
551 BAY RD QUEENSBURY, NY 12804
Mailing Phone
(518) 798-4221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
02-24-2015
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

MR. PETER YOUNG C.E.O.

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(518) 377-2448

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
03007114MEDICAID (05)NY 

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
33D2321530
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
April 04, 2025
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MOHAMMED KABIR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Baywood Clinic 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 BAYWOOD CLINIC

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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.
1700908530
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001801656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 0 + 1 + 6 + 5 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1700908530 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477619252DR. MICHAEL P HOMENICK PH.D.
Individual
Psychologist551 BAY RD
QUEENSBURY, NY 12804
(518) 798-4056
1609932375DR. JAMES P MERRIGAN PHD
Individual
Psychologist (Clinical)551 BAY RD
QUEENSBURY, NY 12804
(518) 798-4056
1588817639MRS. MINDY HARTMAN LAVINE M.S., CCC-SLP
Individual
Speech-Language Pathologist551 BAY RD
QUEENSBURY, NY 12804
(518) 798-4056
1831246792PSYCHOLOGICAL ASSOCIATES OF NORTHEASTERN NEW YORK PC
Organization
Psychologist551 BAY RD
QUEENSBURY, NY 12804
(518) 798-4056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700908530, enumerated in the NPI registry as an "organization" on April 04, 2007

The provider is located at 551 Bay Rd Queensbury, Ny 12804 and the phone number is (518) 798-4221

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

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 provider's CLIA number is 33D2321530 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 April 04, 2007. 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].
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