KINGSBORO PSYCHIATRIC CENTER (NPI# 1386724045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386724045 |
| Entity Type | Organization |
| Organization Name | KINGSBORO PSYCHIATRIC CENTER |
| Practice Address |
309 Mayfair Dr N Brooklyn NY 11234-6715 |
| Practice Telephone | 7182515639 |
| Mailing Telephone | 7182515639 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MANJULA VIKAS (PSYCHIATRIST) |
| Authorized Official Telephone | 7182217216 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 180334 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720170087 | Kingsboro Psychiatric Center | Psychiatric Hospital | 24 Laurel Avenue, Tenafly, NJ 07670 | 2006-09-28 |
| 1689156259 | Kingsboro Psychiatric Center | Nursing Care | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2018-08-30 |
| 1467996348 | Kingsboro Psychiatric Center | Psychiatric Unit | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-12-12 |
| 1891156410 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-03-09 |
| 1003126046 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-10-08 |
| 1578880944 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-26 |
| 1801112131 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-12 |
| 1992869804 | Kingsboro Psychiatric Center | Pharmacy | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| 1548324452 | Kingsboro Psychiatric Center | Health Maintenance Organization | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| 1184704736 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-10-17 |
| Street Address |
309 MAYFAIR DR N |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| 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 |
|---|---|---|---|---|
| 1306163381 | St. Vincent's Hospital | Psychiatric Hospital | 136 Hicks St, Apt 2c, Brooklyn, NY 11201-2366 | 2010-04-29 |
| 1598952566 | Our Lady of Mercy Medical Center | Psychiatric Hospital | 253 80th St, Brooklyn, NY 11209-3611 | 2007-10-03 |
| 1427117977 | Frederick Thomas Townsend Jr. | Psychiatric Hospital | 1819 Bergen St, Brooklyn, NY 11233-4513 | 2006-12-08 |
| 1891156410 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-03-09 |
| 1881023604 | Brookdale University Hospital and Medical Center | Psychiatric Hospital | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2013-11-02 |
| 1720321870 | Llamar Walker | Psychiatric Hospital | One Brookdale Plaza, Brooklyn, NY 11212 | 2013-03-27 |
| 1790022440 | Giacomo S Buscaino | Psychiatric Hospital | 8620 18th Ave, Brooklyn, NY 11214-3702 | 2013-01-14 |
| 1235476268 | Gail Beverly Stuart | Psychiatric Hospital | 681 Clarkson Avenue, Kingsboro Psychiatric Center, Brooklyn, NY 11203 | 2013-01-10 |
| 1194061275 | South Beach Psychiatric Center | Psychiatric Hospital | 8620 18th Ave, Brooklyn, NY 11214-3702 | 2012-12-18 |
| 1174870042 | Kings County Hospital | Psychiatric Hospital | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2012-08-10 |
| Find all providers in BROOKLYN | ||||
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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.