BROOKDALE HOSPITAL (NPI# 1104127984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104127984 |
| Entity Type | Organization |
| Organization Name | BROOKDALE HOSPITAL |
| Practice Address |
2258 84th St Brooklyn NY 11214-3328 |
| Practice Telephone | 3472779084 |
| Mailing Telephone | 3472779084 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |
| Authorized Official Name | TATYANA SEMENOVA (PHISICIAN) |
| Authorized Official Telephone | 3472779084 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
2592091 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE OF NEW YORK | 2592091 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922140318 | Brookdale Hospital | General Acute Care Hospital | 23 Beachview Ave, Staten Island, NY 10306-5106 | 2007-02-13 |
| 1740729326 | Brookdale Hospital | General Acute Care Hospital | 1 Linden Blvd, Dept. of Pharmacy, Brooklyn, NY 11212 | 2017-02-16 |
| 1245658491 | Brookdale Hospital | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2014-04-04 |
| 1922288901 | Brookdale Hospital | General Acute Care Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2007-11-07 |
| Street Address |
2258 84TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11214-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763440 | Safe Reach Pt P.C. | Physical Therapist | 331 Bay 14th Street, Fl.#1, Brooklyn, NY 11214 | 2020-06-04 |
| 1891325353 | Mahmoud Ali | Physical Therapist | 96 28th Avenue 3rd Floor, Brooklyn, NY 11214 | 2020-01-23 |
| 1407370489 | Georgette Neglia | Counselor | 195 Bay 19th Street, Brooklyn, NY 11214 | 2017-08-01 |
| 1063936151 | Ummat Pharmacy Inc | Pharmacy | 8719 18th Avenue, Brooklyn, NY 11214 | 2017-07-31 |
| 1518489293 | S&j Pegasus Inc | PACE Provider Organization | 8754 Bay 16th Street, Cellular Floor, Brooklyn, NY 11214 | 2017-07-13 |
| 1063934909 | Edita Greben | Speech-Language Pathologist | 8823 23rd Avenue, 3rd Floor, Brooklyn, NY 11214 | 2017-07-12 |
| 1649791104 | Rachel Sandler | Religious Nonmedical Nursing Personnel | 79- 20th Avenue, Brooklyn, NY 11214 | 2017-07-05 |
| 1003343849 | Catholic Charities Brooklyn and Queens | Case Management | 190 Bay Street, Brooklyn, NY 11214 | 2017-05-11 |
| 1447785316 | Four Season Medical Pllc | Internal Medicine | 2044 86th Street, Brooklyn, NY 11214 | 2017-04-27 |
| 1134669716 | Uhealthy Pharmacy Inc. | Pharmacy | 2263 86th Street, Brooklyn, NY 11214 | 2017-03-02 |
| Find all providers in zip 11214 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818511 | Arbor Intensives Ltd | Clinic/Center | 514 Ocean Pkwy Ste L2, Brooklyn, NY 11218-5836 | 2020-10-15 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 1982227237 | Tpc Aba LLC | Clinic/Center | 1255 E 31st St, Brooklyn, NY 11210-4740 | 2020-05-21 |
| 1417464173 | Sph Educational Consulting | Clinic/Center | 684 Georgia Ave, Brooklyn, NY 11207-6710 | 2018-01-03 |
| 1154644292 | Lutheran Medical Center | Clinic/Center | 150 55th St, Brooklyn, NY 11220-2559 | 2010-03-03 |
| 1508068982 | Maimonides Medical Center | Clinic/Center | 920 48th St, Rm. 1121, Brooklyn, NY 11219-2918 | 2007-06-05 |
| 1972660181 | Nys Office of Mental Health | Clinic/Center | 1819 Bergen St, Brooklyn, NY 11233-4513 | 2007-01-03 |
| 1275697187 | Nys Office of Mental Health | Clinic/Center | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645724 | Michelle Massarini, Licensed Mental Health Counselor | Clinic/Center | 1462 Levanna Rd, Union Springs, NY 13160-3196 | 2018-10-16 |
| 1952890949 | Student Assistance Services Corporation | Clinic/Center | 660 White Plains Rd Ste 100, Tarrytown, NY 10591-5172 | 2018-05-04 |
| 1013417708 | Alley Valley, LLC | Clinic/Center | 20 Sunrise Dr, Monsey, NY 10952-3305 | 2018-02-19 |
| 1568961829 | Adams Inc. | Clinic/Center | 10933 172nd St Apt 275, Jamaica, NY 11433-3031 | 2018-02-01 |
| 1023560380 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2016-11-02 |
| 1548616949 | Lahtze Enterprises LLC | Clinic/Center | 7515 S State St, Lowville, NY 13367-1569 | 2016-05-04 |
| 1306236294 | The Brain Boosters, Inc. | Clinic/Center | 333 Jericho Tpke, Suite 200, Jericho, NY 11753-1100 | 2015-01-29 |
| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
| 1467893115 | Samantha Ashley Berg | Clinic/Center | 635 165 Street, Promise Program 6th Floor, New York, NY 10032 | 2013-07-10 |
| 1013250299 | Clm Wellness Center Inc | Clinic/Center | 5-31 50 Th Ave, Lic, NY 11101 | 2013-04-05 |
| Find all providers with the same taxonomy | ||||
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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.