MOHAWK VALLEY PSYCHIATRIC CENTER (NPI# 1497812614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497812614 |
| 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 | 2008-08-01 |
| Authorized Official Name | ROBERT PUCCIO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | NY | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01618771 | 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 |
| 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 |
| 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 | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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|---|---|---|---|---|
| 1730371584 | Mohawk Valley PC | Health Maintenance Organization | 1400 Noyes St, Utica, NY 13502-3854 | 2007-08-15 |
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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.