NYS OFFICE OF MENTAL HEALTH (NPI# 1275697187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275697187 |
| Entity Type | Organization |
| Organization Name | NYS OFFICE OF MENTAL HEALTH |
| Other Organization Name | KINGSBORO PSYCHIATRIC CENTER |
| Practice Address |
681 Clarkson Ave Brooklyn NY 11203-2125 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 7182217700 |
| Mailing Telephone | 5184738234 |
| Mailing Fax Number | 5184735167 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | BETH GIARRUSSO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
NY | Ambulatory Health Care Facilities | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00769475 | 05 |
| Other Name | Type Code |
|---|---|
| Kingsboro 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 |
| 1104983329 | Nys Office of Mental Health | Clinic/Center | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 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 |
| Street Address |
681 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457431546 | Dhananjay A Bhagogi | Internal Medicine | 681 Clarkson Ave, Building 2, Brooklyn, NY 11203-2125 | 2006-10-16 |
| 1588295034 | Victoria Tayese | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2020-02-03 |
| 1548806979 | William Brown | Student in an Organized Health Care Education/Training Program | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-11-20 |
| 1295378461 | Racheal Olufunke Ajiboye | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-21 |
| 1194367854 | Rose Boutin | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-15 |
| 1508407875 | Nathaniel Ajibade | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1316588684 | Modupe Kolawole | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1861033359 | Irshad Amirali Sumar | Psychiatry & Neurology | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-05 |
| 1710528799 | Corazon Tapere Ty | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-01 |
| 1043851215 | Raisa Suelyn Harrington | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
| 1962928408 | Haitian Centers Council Inc | Clinic/Center | 3807 Church Ave, Brooklyn, NY 11203 | 2017-08-16 |
| 1932589496 | Lamo Medical PC | Clinic/Center | 420 Watkins St, Suite 6m, Brooklyn, NY 11212-5948 | 2015-05-31 |
| 1477722635 | Absolute Approach Medical P.C. | Clinic/Center | 2387 Ocean Ave, Suite# 1g, Brooklyn, NY 11229-3543 | 2008-02-21 |
| 1598748287 | Kina Cliette | Clinic/Center | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2005-11-28 |
| 1720689391 | Benjamin Ferris, Lcsw | Clinic/Center | 26 Court St Ste 1009, Brooklyn, NY 11242-1110 | 2020-11-02 |
| 1538679634 | Hs Psychological Therapy Pllc | Clinic/Center | 3380 Nostrand Ave Apt 1e, Brooklyn, NY 11229-4032 | 2017-10-03 |
| 1306242649 | Brooklyn Center for Familiez In Practice | Clinic/Center | 1309 Foster Ave, Brooklyn, NY 11230-1511 | 2014-11-14 |
| 1972812733 | Thomas J. Johnston | Clinic/Center | 25 Flatbush Ave, Brooklyn, NY 11217-1101 | 2010-09-28 |
| 1235457367 | Fegs | Clinic/Center | 199 Jay St, Brooklyn, NY 11201-1907 | 2010-05-13 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on NYS OFFICE OF MENTAL HEALTH.
| 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.