Conifer Park, Inc.
Conifer Park, Inc. is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Schenectady, NY, holding Type 2 (organization) NPI 1649225897 since 2006. The authorized official on file is Tammy Smith, Director, Op Billing Dept.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649225897 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Conifer Park, Inc. |
| Practice address | 600 FRANKLIN ST, Schenectady, NY, 12305 |
| Phone | 5183727031 |
| Fax | 5183727064 |
| Enumeration date | 2006-05-24 |
| Last updated in NPPES | 2021-04-29 |
Authorized official
| Name | Tammy Smith |
|---|---|
| Title | Director, Op 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: 1649225897 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 600 FRANKLIN ST, Schenectady, NY, 12305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467472852 | Emilio Ruelos | Individual | Psychiatry Physician | Schenectady, NY |
| 1508886631 | Maggie Willis | Individual | Clinical Social Worker | Schenectady, NY |
| 1699855320 | Brigette Hartman-Decenzo | Individual | Clinical Social Worker | Schenectady, NY |
| 1700960705 | Russell Fricke | Individual | Family Medicine Physician | Schenectady, NY |
| 1427137256 | John Melbourne | Individual | Addiction Medicine (Internal Medicine) Physician | Schenectady, NY |
| 1396882684 | Schenectady County Public Health Services Clinic | Organization | State or Local Public Health Clinic/Center | Schenectady, NY |
| 1881720571 | Ethelma Lincoln-Roberts | Individual | Adult Health Clinical Nurse Specialist | Schenectady, NY |
| 1831396373 | Michael Mansky | Individual | Addiction (Substance Use Disorder) Counselor | Schenectady, NY |
Verify this record
Cross-check NPI 1649225897 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.?
What is the NPI number for Conifer Park, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-04-29.