MOHAWK VALLEY PSYCHIATRIC CENTER (NPI# 1346307568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346307568 |
| Entity Type | Organization |
| Organization Name | MOHAWK VALLEY PSYCHIATRIC CENTER |
| Practice Address |
1400 Noyes St Utica NY 13502-3854 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 3157976800 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | BETH GIARRUSSO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | Y |
| Parent Organization Name | NYS OFFICE OF MENTAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02369648 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750629176 | Mohawk Valley Psychiatric Center | Community/Behavioral Health | 126 Elm St, Oriskany, NY 13424-4506 | 2013-01-18 |
| 1225307366 | Mohawk Valley Psychiatric Center | Community/Behavioral Health | 1400 Noyes St, Utica, NY 13502-3854 | 2011-12-19 |
| 1457664997 | Mohawk Valley Psychiatric Center | Psychiatric Hospital | 1400 Noyes St, Utica, NY 13502-3854 | 2010-07-26 |
| 1891008744 | Mohawk Valley Psychiatric Center | Public Health or Welfare | 1400 Noyes Street, Mohawk Valley Psychiatric Center, Utica, NY 13502-3854 | 2010-07-21 |
| 1730492182 | Mohawk Valley Psychiatric Center | Psychiatric Hospital | 1400 Noyes St, Utica, NY 13502-3854 | 2010-07-14 |
| 1184936825 | Mohawk Valley Psychiatric Center | Psychiatric Hospital | 1400 Noyes St, Utica, NY 13502-3854 | 2010-07-10 |
| 1831413186 | Mohawk Valley Psychiatric Center | Psychiatric Hospital | 1400 Noyes St, Utica, NY 13502-3854 | 2010-03-16 |
| 1861559080 | Mohawk Valley Psychiatric Center | Assisted Living Facility | 1400 Noyes St, Utica, NY 13502-3854 | 2007-01-03 |
| 1760549984 | Mohawk Valley Psychiatric Center | Pharmacy | 1400 Noyes St, Utica, NY 13502-3854 | 2007-01-03 |
| 1497812614 | Mohawk Valley Psychiatric Center | Health Maintenance Organization | 1400 Noyes St, Utica, NY 13502-3854 | 2007-01-03 |
| Street Address |
1400 NOYES ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795193 | Michael David Gribetz | Psychiatry & Neurology | 1400 Noyes St, Utica, NY 13502-3854 | 2006-03-24 |
| 1487288569 | Maurice Luck IIi | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-27 |
| 1366075046 | Amanda Krzyzanowski | Registered Nurse | 1400 Noyes St, Utica, NY 13502 | 2020-02-20 |
| 1336772300 | Ann Margaret Flood | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-19 |
| 1326671488 | James Ernest Watts | Clinical Nurse Specialist | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-18 |
| 1568094654 | Janine Marie Little | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-07 |
| 1417588898 | Joanna Lakata | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3852 | 2020-02-04 |
| 1619507498 | Ashley Dackowsky | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-01-22 |
| 1407407711 | Paula June Vetrone | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2019-09-27 |
| 1316410442 | Shobha Rao | Social Worker | 1400 Noyes St, Utica, NY 13502-3854 | 2019-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1205203023 | Upstate Family Health Center Incorporated | Clinic/Center | 1001 Noyes St, Utica, NY 13502-4400 | 2015-08-27 |
| 1952962748 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-06-24 |
| 1689112922 | Upstate Family Health Center, Inc. Kernan Sbhc | Clinic/Center | 929 York St, Utica, NY 13502-3929 | 2017-02-07 |
| 1851839195 | Upstate Family Health Center, Inc. Mlk | Clinic/Center | 211 Square St, Utica, NY 13501-4551 | 2017-02-07 |
| 1598203838 | Upstate Family Health Center, Inc. Donovan Sbhc | Clinic/Center | 1701 Noyes St, Utica, NY 13502-3857 | 2017-02-07 |
| 1154779965 | Kelberman Center, Inc | Clinic/Center | 2608 Genesee St, Utica, NY 13502-6003 | 2016-06-02 |
| 1093160012 | Upstate Family Health Center Incorporated | Clinic/Center | 1001 Noyes St, Utica, NY 13502-4400 | 2016-04-27 |
| 1548414287 | Brian C Alessi Md PC | Clinic/Center | 1 Notre Dame Ln, Utica, NY 13502-4817 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
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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.