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Champlain Valley Psychiatric Associates

Psychiatry & Neurology, Psychiatry in Plattsburgh, NY. Organization (NPI-2).

NPI number1154490944
StatusActive
Last updated in NPPESJul 1, 2010

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 codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry––Yes
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry––
2084P0805X ––

Practice location

11 Hammond Lane
Suite A
Plattsburgh, NY 12901-2003

Phone 518-561-0063 · Fax 518-561-0947

Mailing address

11 Hammond Lane
Suite 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.

Other Psychiatry Physician providers in Plattsburgh, NY

All 20 Psychiatry Physician providers in Plattsburgh · All 1,665 providers in Plattsburgh

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