PILGRIM PSYCHIATRIC CENTER (NPI# 1154864338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154864338 |
Entity Type | Organization |
Organization Name | PILGRIM PSYCHIATRIC CENTER |
Practice Address |
998 Crooked Hill Rd Brentwood NY 11717-1019 |
Practice Telephone | 6317613515 |
Mailing Telephone | 6317613515 |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |
Authorized Official Name | MR. DENNIS STALLONE (PHARMACY MANAGER) |
Authorized Official Telephone | 6317612295 |
Authorized Official Credential | R.PH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | 035699 | NY | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992237366 | Pilgrim Psychiatric Center | Psychiatric Unit | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2017-04-03 |
1043679376 | Pilgrim Psychiatric Center | Case Management | 998 Crooked Hill Rd, Building 69, West Brentwood, NY 11717-1019 | 2016-02-15 |
1497199707 | Pilgrim Psychiatric Center | Psychiatric Hospital | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2013-04-18 |
1588907455 | Pilgrim Psychiatric Center | Psychiatric Unit | 175 Fulton Ave, Hempstead, NY 11550-3150 | 2013-03-29 |
1871898817 | Pilgrim Psychiatric Center | Psychiatric Hospital | 550 E Main St, Suite 103, Riverhead, NY 11901-2672 | 2011-01-24 |
1306900212 | Pilgrim Psychiatric Center | Health Maintenance Organization | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
1396809208 | Pilgrim Psychiatric Center | Clinic/Center | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
1124182035 | Pilgrim Psychiatric Center | Assisted Living Facility | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
1295899102 | Pilgrim Psychiatric Center | Pharmacy | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
Street Address |
998 CROOKED HILL RD |
City | BRENTWOOD |
State | NY |
Zip Code | 11717-1019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275153603 | Guerline Markowitz | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-27 |
1528688074 | Daniel Brian Bell | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-24 |
1083248280 | Schneidine Rely-supreme | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-02-26 |
1285264762 | Barbara M Bazemore | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-01-23 |
1730727165 | Gerard Fitzgerald Grant | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-12-17 |
1982240768 | Monica J Cuya | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1942846746 | Alyssa Hope Smith | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1720624505 | Lancia Dezalon | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1164068946 | Kevin Fischer | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
1538700778 | Michael Vincent Massina | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-09-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
Find all providers in zip 11717 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184962177 | Suffolk Icm Program | Psychiatric Hospital | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2013-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
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1578012688 | Isabella Denyssenko | Psychiatric Hospital | 8 Lincoln Ave, Ardsley, NY 10502-2230 | 2016-09-30 |
1316493992 | St Josephs Hospital | Psychiatric Hospital | 2 Apple Tree Ln, Liverpool, NY 13090-2302 | 2016-09-01 |
1861866154 | Karen Hilmy | Psychiatric Hospital | 315 Murphy Ave, Endicott, NY 13760-2805 | 2015-11-24 |
1659759470 | Buffalo Psychiatric Center | Psychiatric Hospital | 72 Middle Road, Collins, NY 14034-0389 | 2015-05-13 |
1487056792 | John L. Bolling, M.d. | Psychiatric Hospital | 203 W 138th St, New York, NY 10030-2102 | 2014-09-17 |
1043611924 | Shaiina Marston | Psychiatric Hospital | 206 Whaley St, Freeport, NY 11520-4223 | 2014-09-10 |
1114334000 | Norwalk Hospital | Psychiatric Hospital | 61 W 85th St, Apartment 2b, New York, NY 10024-4120 | 2014-07-13 |
1417382193 | Ingrid Maria Blumenkrantz | Psychiatric Hospital | 31 W Shore Rd, Port Washington, NY 11050-3012 | 2013-09-12 |
1033555305 | Mount Sinai Hospital | Psychiatric Hospital | 2027 Greene Ave, Ridgewood, NY 11385-1963 | 2013-05-14 |
1376895938 | Nys-omh @slpc-children & Youth | Psychiatric Hospital | One Chimney Point Drive, Ogdensberg, NY 13669-2291 | 2012-10-08 |
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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.