HUTCHINGS PSYCHIATRIC CENTER (NPI# 1497294789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497294789 |
| Entity Type | Organization |
| Organization Name | HUTCHINGS PSYCHIATRIC CENTER |
| Practice Address |
650 Madison St Syracuse NY 13210-2319 |
| Practice Telephone | 3154263600 |
| Practice Fax Number | 3154267793 |
| Mailing Telephone | 3154263600 |
| Mailing Fax Number | 3154267793 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MS. MAIZIE MARIE SHAW (LMSW2) |
| Authorized Official Telephone | 3154263600 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0632821 | NY | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992275481 | Hutchings Psychiatric Center | Nursing Care | 620 Madison Street, Syracuse, NY 13210 | 2018-11-28 |
| 1154795342 | Hutchings Psychiatric Center | Psychiatric Hospital | 650 Madison St, Syracuse, NY 13210-2319 | 2015-11-25 |
| 1962875484 | Hutchings Psychiatric Center | Community/Behavioral Health | 650 Madison St, Syracuse, NY 13210-2319 | 2015-11-05 |
| 1558428771 | Hutchings Psychiatric Center | Assisted Living Facility | 620 Madison St, Syracuse, NY 13210-2319 | 2007-01-03 |
| 1093872210 | Hutchings Psychiatric Center | Pharmacy | 620 Madison St, Syracuse, NY 13210-2319 | 2007-01-03 |
| 1457418675 | Hutchings Psychiatric Center | Health Maintenance Organization | 620 Madison St, Syracuse, NY 13210-2319 | 2007-01-03 |
| Street Address |
650 MADISON ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902089238 | Shannon Kathleen Kelley | Social Worker | 650 Madison St, Syracuse, NY 13210-2319 | 2007-12-10 |
| 1699244632 | Hutchings Psyhciatric Center | Registered Nurse | 650 Madison St, Syracuse, NY 13210-2319 | 2018-11-20 |
| 1114423407 | Rajae Elkirami | Registered Nurse | 650 Madison St, Syracuse, NY 13210-2319 | 2018-04-04 |
| 1821538950 | Mary Susan Carlisle | Social Worker | 650 Madison St, Syracuse, NY 13210-2319 | 2017-03-08 |
| 1154795342 | Hutchings Psychiatric Center | Psychiatric Hospital | 650 Madison St, Syracuse, NY 13210-2319 | 2015-11-25 |
| 1962875484 | Hutchings Psychiatric Center | Community/Behavioral Health | 650 Madison St, Syracuse, NY 13210-2319 | 2015-11-05 |
| 1225462005 | Elizabeth Dahl | Licensed Practical Nurse | 650 Madison St, Syracuse, NY 13210-2319 | 2013-08-28 |
| 1922350651 | Sandra R Purdy | Registered Nurse | 650 Madison St, Syracuse, NY 13210-2319 | 2012-10-04 |
| 1306127121 | Adrienne M Kulak | Registered Nurse | 650 Madison St, Syracuse, NY 13210-2319 | 2011-09-07 |
| 1346530839 | Teresa Loyola Kliss-janas | Social Worker | 650 Madison St, Syracuse, NY 13210-2319 | 2011-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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| 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 |
|---|---|---|---|---|
| 1164703088 | Lill E. Chamorro | Psychiatric Unit | 750 E Adams St, Syracuse, NY 13210-2342 | 2011-09-06 |
| 1548588940 | Jennifer Singarayer | Psychiatric Unit | 750 E Adams St, Syracuse, NY 13210-2342 | 2010-05-10 |
| 1144288531 | Suny Healthscience Center At Syracuse | Psychiatric Unit | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-05-03 |
| 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.