Champlain Valley Psychiatric Associates
Psychiatry & Neurology, Psychiatry in Plattsburgh, NY. Organization (NPI-2).
Details
- NPI
- 1154490944
- Entity type
- Organization (NPI-2)
- Legal business name
- Champlain Valley Psychiatric Associates
- Organization subpart
- No
- Enumeration date
- Nov 7, 2006
- Last updated
- Jul 1, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 2084P0805X | – | – |
Practice location
11 Hammond LaneSuite A
Plattsburgh, NY 12901-2003
Phone 518-561-0063 · Fax 518-561-0947
Mailing address
11 Hammond LaneSuite A
Plattsburgh, NY 12901-2003
Phone 518-561-0063 · Fax 518-561-0947
Authorized official
Hal Ira Rubin
Physician Owner Partner
5185610063
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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