ST. CATHERINE OF SIENA MEDICAL CENTER (NPI# 1407815830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407815830 |
| Entity Type | Organization |
| Organization Name | ST. CATHERINE OF SIENA MEDICAL CENTER |
| Practice Address |
50 Route 25a Smithtown NY 11787-1348 |
| Mailing Address |
Po Box 96000-6565 Philadelphia PA 19195-6565 |
| Practice Telephone | 6318623000 |
| Mailing Telephone | 6318623000 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | MR. JOHN POHLMAN (VP FINANCE) |
| Authorized Official Telephone | 6318623107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02060942 | 05 | |
| NY | BLUE CROSS | 000335 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154764819 | St. Catherine of Siena Medical Center | General Acute Care Hospital | 50 Route 25a, Smithtown, NY 11787-1348 | 2013-04-12 |
| 1053497248 | St. Catherine of Siena Medical Center | General Acute Care Hospital | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-10-31 |
| 1972562239 | St. Catherine of Siena Medical Center | Clinic/Center | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-03-23 |
| 1982663423 | St. Catherine of Siena Medical Center | General Acute Care Hospital | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. CATHERINE OF SIENA MEDICAL CENTER | 50 Route 25a, Smithtown, NY 11787-1348 |
| Street Address |
50 ROUTE 25A |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085061 | Dmitry Konsky | Internal Medicine | 50 Route 25a, Smithtown, NY 11787 | 2005-07-01 |
| 1609232883 | Patrick Fritz Greger | Physician Assistant | 50 Route 25a, Surgical Pa Services, Smithtown, NY 11787-1348 | 2016-01-04 |
| 1447624655 | Kimberly Finnegan | Nurse Practitioner | 50 Route 25a, Smithtown, NY 11787-1348 | 2015-11-25 |
| 1346626868 | Marilyn Verna | Registered Nurse | 50 Route 25a, Smithtown, NY 11787-1348 | 2015-08-06 |
| 1033540059 | Salma Sanzida Islam | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2013-12-02 |
| 1922449511 | Michael Simon Cucci | Pharmacist | 50 Route 25a, St Catherine of Siena Medical Center - Dept of Pharmacy, Smithtown, NY 11787-1348 | 2013-07-10 |
| 1902245632 | Kate Aileen Lindstadt | Nurse Practitioner | 50 Route 25a, Smithtown, NY 11787 | 2013-06-15 |
| 1154764819 | St. Catherine of Siena Medical Center | General Acute Care Hospital | 50 Route 25a, Smithtown, NY 11787-1348 | 2013-04-12 |
| 1841549912 | Philip Edwin Veith | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2012-09-05 |
| 1356612717 | Peter Soltani | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2012-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
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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.