ST LUKES ROOSEVELT HOSPITAL CENTER (NPI# 1164582110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164582110 |
| Entity Type | Organization |
| Organization Name | ST LUKES ROOSEVELT HOSPITAL CENTER |
| Practice Address |
411 W 114th St New York NY 10025-1710 |
| Practice Telephone | 2125234108 |
| Mailing Telephone | 2125234108 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SOPHIA ROUIZIER (PSTCHIATRIST) |
| Authorized Official Telephone | 2125234108 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 238891 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285600106 | St Lukes Roosevelt Hospital Center | Medical Genetics | 1000 10th Ave Ste 10c, New York, NY 10019-1147 | 2006-02-28 |
| 1164407359 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | 425 West 59th Street, Ste 5-a, New York, NY 10019-8022 | 2005-12-09 |
| 1174508360 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | Primary 1000 10th Avenue, Ste 11a-61, New York, NY 10019-1147 | 2005-12-09 |
| 1992701205 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | 425 West 59th Street, Ste 9-b, New York, NY 10019-1104 | 2005-06-22 |
| 1235440561 | St Lukes Roosevelt Hospital Center | Pharmacy | 275 7th Ave Fl 12, New York, NY 10001-6995 | 2010-07-01 |
| 1417192311 | St Lukes Roosevelt Hospital Center | Rehabilitation Unit | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2008-12-05 |
| 1821136979 | St Lukes Roosevelt Hospital Center | Pharmacy | 1000 10th Ave, 2t Clinic, New York, NY 10019-1147 | 2007-02-01 |
| 1063562551 | St Lukes Roosevelt Hospital Center | Pharmacy | 203 W 12th St, New York, NY 10011-7762 | 2007-01-10 |
| 1104982917 | St Lukes Roosevelt Hospital Center | Case Management | 1000 10th Ave, Roosevelt Division, New York, NY 10019 | 2006-12-28 |
| 1134211717 | St Lukes Roosevelt Hospital Center | Internal Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2006-09-29 |
| Street Address |
411 W 114TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720013808 | John J Dilallo | Psychiatry & Neurology | 411 W 114th St, 2nd Floor, New York, NY 10025-1710 | 2006-07-11 |
| 1447732615 | Kristen Courtney | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-09-04 |
| 1912499294 | Margaret Rauen | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-06-03 |
| 1285151787 | Michael Reding | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2017-08-25 |
| 1770944407 | Mana Samghabadi | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2016-03-08 |
| 1144694563 | Andrew Shand | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2015-11-23 |
| 1205232980 | Alex Movahed | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2014-11-07 |
| 1497151229 | Zoe Reyes | Social Worker | 411 W 114th St, 3rd Floor, New York, NY 10025-1710 | 2014-11-05 |
| 1104232156 | Nadia Zein Hidayatallah | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2014-07-09 |
| 1174943781 | Jessica Brodsky Macklin | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2014-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| 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 |
|---|---|---|---|---|
| 1487056792 | John L. Bolling, M.d. | Psychiatric Hospital | 203 W 138th St, New York, NY 10030-2102 | 2014-09-17 |
| 1114334000 | Norwalk Hospital | Psychiatric Hospital | 61 W 85th St, Apartment 2b, New York, NY 10024-4120 | 2014-07-13 |
| 1740599570 | New York State Psychiatric Institute | Psychiatric Hospital | 504 W 136th St, Apt 6-c, New York, NY 10031-7908 | 2010-09-28 |
| 1689800120 | Mpc | Psychiatric Hospital | 600 East 125 St., Wards Island Complex, New York, NY 10035-6000 | 2009-06-10 |
| 1669620670 | Cesar Carrasco | Psychiatric Hospital | 635 W 165th St Fl 6, New York, NY 10032-3724 | 2008-09-03 |
| 1194861179 | Lincoln Medical Mental Health Center | Psychiatric Hospital | 234 E 149th St 10-c, Bronx New York, New York, NY 10451 | 2007-01-29 |
| 1982756227 | Harlem Hospital Center | Psychiatric Hospital | 1751 2nd Ave, 28t, New York, NY 10128-5363 | 2007-01-17 |
| 1164573002 | Frances R Levin | Psychiatric Hospital | 1051 Riverside Dr Rm 3625, New York, NY 10032-1007 | 2007-01-16 |
| 1215911946 | New York Gracie Square Hospital Inc | Psychiatric Hospital | 420 E 76th St, New York, NY 10021-3104 | 2005-12-06 |
| 1245647577 | Swathi Moylan | Psychiatric Hospital | 1901 1st Ave, 4m14, New York, NY 10029-7404 | 2014-07-18 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on ST LUKES ROOSEVELT HOSPITAL CENTER.
| 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.