Conifer Park, Inc.
Conifer Park, Inc. is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Troy, NY, holding Type 2 (organization) NPI 1356396543 since 2006. The authorized official on file is Tammy Smith, Director, Ob Billing Dept..
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356396543 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Conifer Park, Inc. |
| Practice address | 2435 6TH AVE, Troy, NY, 12180 |
| Phone | 5182745143 |
| Fax | 5182731350 |
| Enumeration date | 2006-05-24 |
| Last updated in NPPES | 2021-04-29 |
Authorized official
| Name | Tammy Smith |
|---|---|
| Title | Director, Ob Billing Dept. |
| Phone | 5189528408 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420800 | Medicaid | NY | — |
Copy-ready billing details
Provider: Conifer Park, Inc. NPI: 1356396543 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 2435 6TH AVE, Troy, NY, 12180
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275572059 | Amy Earshen | Individual | Addiction Psychiatry Physician | Troy, NY |
| 1760602841 | Thomas Bendon | Individual | Addiction (Substance Use Disorder) Counselor | Troy, NY |
| 1164686804 | Michael Mccormick | Individual | Addiction (Substance Use Disorder) Counselor | Troy, NY |
| 1942527783 | Talis Sherriffe-Higgins | Individual | Family Nurse Practitioner | Troy, NY |
| 1083910947 | Joel Haynes | Individual | Mental Health Counselor | Troy, NY |
| 1609165844 | Alberto Guzman | Individual | Addiction (Substance Use Disorder) Counselor | Troy, NY |
| 1720330020 | Danielle Brown | Individual | Licensed Practical Nurse | Troy, NY |
| 1427430388 | Meagan Wasacz | Individual | Physician Assistant | Troy, NY |
Verify this record
Cross-check NPI 1356396543 against the authoritative CMS record: view Conifer Park, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Conifer Park, Inc.?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-04-29.