HUDSON RIVER PSYCHIATRIC CENTER (NPI# 1093879991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093879991 |
| Entity Type | Organization |
| Organization Name | HUDSON RIVER PSYCHIATRIC CENTER |
| Practice Address |
10 Ross Cir Poughkeepsie NY 12601-1078 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 8454528000 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | ROBERT PUCCIO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02717655 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922191196 | Hudson River Psychiatric Center | Psychiatric Hospital | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2006-10-02 |
| 1558577940 | Hudson River Psychiatric Center | Psychiatric Hospital | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2007-05-15 |
| 1275697179 | Hudson River Psychiatric Center | Pharmacy | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2006-12-22 |
| 1811051717 | Hudson River Psychiatric Center | Assisted Living Facility | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2006-12-22 |
| 1457415358 | Hudson River Psychiatric Center | Health Maintenance Organization | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2006-12-22 |
| Street Address |
10 ROSS CIR |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922191196 | Hudson River Psychiatric Center | Psychiatric Hospital | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2006-10-02 |
| 1588087043 | Sherry Ann Tankersley | Psychologist | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2014-02-03 |
| 1104141977 | Alice Gwen Young | Licensed Practical Nurse | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2010-04-05 |
| 1568787877 | Linda C Breithaupt | Counselor | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2010-03-30 |
| 1386969699 | Jessica N Van Kleeck | Social Worker | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2010-03-30 |
| 1255656682 | Jilda M Prazenica | Social Worker | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2010-03-29 |
| 1407048259 | Hudson River PC | Health Maintenance Organization | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2007-08-15 |
| 1558577940 | Hudson River Psychiatric Center | Psychiatric Hospital | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2007-05-15 |
| 1376668285 | Karen B Pilner | Psychiatry & Neurology | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2007-03-20 |
| 1558486464 | Paul C Bermanzohn | Psychiatry & Neurology | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1629235304 | Antonio Mancarella Dc PC | Clinic/Center | 68 W Cedar St, Poughkeepsie, NY 12601-1300 | 2008-05-20 |
| 1568433142 | Central New York Eye Center, Ltd | Clinic/Center | 22 Green St, Poughkeepsie, NY 12601-1306 | 2006-01-31 |
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| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
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| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
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| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
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| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.