Community Care Physicians, PC
NPI 1164704136ActiveOrganization· Pediatrics, Developmental - Behavioral Pediatrics· Latham, NY
Pediatrics, Developmental - Behavioral Pediatrics in Latham, New York, registered in NPPES in September 2011, part of Community Care Physicians, PC. The authorized official on file is Debby Coons, Credentialing Manager.
Overview
| NPI | 1164704136 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Community Care Physicians, PC |
| NPI issued | Sep 15, 2011 |
| Last updated in NPPES | Feb 12, 2024 |
| Certified by provider | Feb 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | 119952 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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