MOHAWK VALLEY PSYCHIATRIC CENTER (NPI# 1457664997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457664997 |
| Entity Type | Organization |
| Organization Name | MOHAWK VALLEY PSYCHIATRIC CENTER |
| Practice Address |
1400 Noyes St Utica NY 13502-3854 |
| Practice Telephone | 3157384440 |
| Practice Fax Number | 3157384410 |
| Mailing Telephone | 3157384440 |
| Mailing Fax Number | 3157384410 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | MRS. DIANE RASHFORD (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 3157383800 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 208630-1 | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1578620795 | 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 |
| 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 |
| 1346307568 | Mohawk Valley Psychiatric Center | Clinic/Center | 1400 Noyes St, Utica, NY 13502-3854 | 2007-01-03 |
| 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 |
| Find all providers in zip 13502 | ||||
| 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 |
|---|---|---|---|---|
| 1003280728 | Mohawk Valley Psych Center | Psychiatric Hospital | 1400 Noyes Street, #49, Utica, NY 13502 | 2015-11-18 |
| 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 |
| 1982761425 | Nys Office of Mental Health | Psychiatric Hospital | 1400 Noyes St, Utica, NY 13502-3854 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578012688 | Isabella Denyssenko | Psychiatric Hospital | 8 Lincoln Ave, Ardsley, NY 10502-2230 | 2016-09-30 |
| 1316493992 | St Josephs Hospital | Psychiatric Hospital | 2 Apple Tree Ln, Liverpool, NY 13090-2302 | 2016-09-01 |
| 1861866154 | Karen Hilmy | Psychiatric Hospital | 315 Murphy Ave, Endicott, NY 13760-2805 | 2015-11-24 |
| 1659759470 | Buffalo Psychiatric Center | Psychiatric Hospital | 72 Middle Road, Collins, NY 14034-0389 | 2015-05-13 |
| 1487056792 | John L. Bolling, M.d. | Psychiatric Hospital | 203 W 138th St, New York, NY 10030-2102 | 2014-09-17 |
| 1043611924 | Shaiina Marston | Psychiatric Hospital | 206 Whaley St, Freeport, NY 11520-4223 | 2014-09-10 |
| 1114334000 | Norwalk Hospital | Psychiatric Hospital | 61 W 85th St, Apartment 2b, New York, NY 10024-4120 | 2014-07-13 |
| 1417382193 | Ingrid Maria Blumenkrantz | Psychiatric Hospital | 31 W Shore Rd, Port Washington, NY 11050-3012 | 2013-09-12 |
| 1033555305 | Mount Sinai Hospital | Psychiatric Hospital | 2027 Greene Ave, Ridgewood, NY 11385-1963 | 2013-05-14 |
| 1376895938 | Nys-omh @slpc-children & Youth | Psychiatric Hospital | One Chimney Point Drive, Ogdensberg, NY 13669-2291 | 2012-10-08 |
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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.