NYS OFFICE OF MENTAL HEALTH (NPI# 1104983329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104983329 |
| Entity Type | Organization |
| Organization Name | NYS OFFICE OF MENTAL HEALTH |
| Other Organization Name | SAGAMORE CHILDRENS PSYCHIATRIC CENTER |
| Practice Address |
197 Half Hollow Rd Dix Hills NY 11746-5861 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 6316737700 |
| Mailing Telephone | 5184738234 |
| Mailing Fax Number | 5184735167 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | BETH GIARRUSSO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184733598 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
NY | Ambulatory Health Care Facilities | |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00769282 | 05 |
| Other Name | Type Code |
|---|---|
| Sagamore Childrens Psychiatric Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763348 | Nys Office of Mental Health | Psychiatric Residential Treatment Facility | 305 Plymouth Ct, Uniondale, NY 11553-1930 | 2013-03-12 |
| 1992949275 | Nys Office of Mental Health | Pharmacy | 44 Holland Avenune, Attn: Finance Group/mgp, Albany, NY 12229-0001 | 2009-04-30 |
| 1073670519 | Nys Office of Mental Health | Psychiatric Hospital | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2007-01-03 |
| 1629135850 | Nys Office of Mental Health | Psychiatric Hospital | Box 158 Route 17-m, New Hampton, NY 10958 | 2007-01-03 |
| 1588033609 | Nys Office of Mental Health | Assisted Living Facility | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2015-09-18 |
| 1346598208 | Nys Office of Mental Health | Psychiatric Hospital | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2012-08-27 |
| 1831446798 | Nys Office of Mental Health | Clinic/Center | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2012-08-10 |
| 1033375258 | Nys Office of Mental Health | Psychiatric Hospital | 9005 Old River Rd, Marcy, NY 13403-3000 | 2008-08-07 |
| 1194917930 | Nys Office of Mental Health | Health Maintenance Organization | 425 Robinson St, Binghamton, NY 13904-1735 | 2007-08-15 |
| 1417090952 | Nys Office of Mental Health | Clinic/Center | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-15 |
| Street Address |
197 HALF HOLLOW RD |
| City | DIX HILLS |
| State | NY |
| Zip Code | 11746-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128052 | Anthony Calabrese | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5859 | 2019-01-29 |
| 1053829622 | Donna Cohen-buthmann | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2018-01-17 |
| 1245747799 | Megan Antoncich | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2018-01-05 |
| 1093118283 | Andrew C Yang | Pharmacist | 197 Half Hollow Rd, Pharmacy Dept, Dix Hills, NY 11746-5859 | 2014-10-01 |
| 1962708529 | Chukwuka Mordi | Nurse Practitioner | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2011-01-31 |
| 1891927851 | Lyle Eisenberg | Pharmacist | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2009-08-10 |
| 1003040486 | Edward John Rorrison | Pharmacist | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2009-05-13 |
| 1497946784 | Jeannette Santulli | Registered Nurse | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-08-05 |
| 1649480294 | Michele Marie Mahon | Psychiatry & Neurology | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-05-23 |
| 1285846188 | Angela M. Bengis | Social Worker | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
| 1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1073037032 | Stacy H Schoenbach | Nurse Practitioner | 150 Broadhollow Road Suite 310, Melville, NY 11746 | 2017-08-01 |
| 1124542584 | Molar To Molar Dentistry PC | Dentist | 1679 New York Avenue, Huntington Station, NY 11746 | 2017-07-27 |
| 1114451077 | Ashleigh Lakatos | Specialist/Technologist | 586 Vanderbilt Pkwy, Dix Hills, NY 11746 | 2017-04-18 |
| 1487199170 | Aderemi O. Ogundiran | Student in an Organized Health Care Education/Training Program | 10 Mont Avenue, Dix Hills, NY 11746 | 2017-01-04 |
| 1942758347 | Philopenie Moise | Registered Nurse | 58 Alpine Way, Huntington Station, NY 11746 | 2016-09-14 |
| 1235598996 | Helen Martignette | Registered Nurse | 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 | 2016-02-23 |
| 1154780963 | Karen Rose Jacobsen | Registered Nurse | 165 Pidgeon Hill Road, South Huntington, NY 11746 | 2016-02-22 |
| Find all providers in zip 11746 | ||||
| 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 |
|---|---|---|---|---|
| 1225308778 | Bernard Hoffman M.d. P.C. | Clinic/Center | 12 Faulkner Ln, Dix Hills, NY 11746-5906 | 2011-12-30 |
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|---|---|---|---|---|
| 1043818511 | Arbor Intensives Ltd | Clinic/Center | 514 Ocean Pkwy Ste L2, Brooklyn, NY 11218-5836 | 2020-10-15 |
| 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 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 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 |
| 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.