BRENTWOOD MEADOWS, LLC (NPI# 1508292582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508292582 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD MEADOWS, LLC |
| Other Organization Name | BRENTWOOD MEADOWS |
| Practice Address |
4488 Roslin Rd Newburgh IN 47630-8590 |
| Practice Telephone | 8128587200 |
| Mailing Telephone | 8128587200 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | MS. DONNA SALEE WEST (DIRECTOR OF LICENSE AND REGULATION) |
| Authorized Official Telephone | 8125988989 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | BRENTWOOD MEADOWS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
71003322A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01043877A | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brentwood Meadows | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457594830 | Brentwood Meadows, LLC | Psychiatric Hospital | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRENTWOOD MEADOWS, LLC | 10930 Main St, Donald, OR 97020 |
| Street Address |
4488 ROSLIN RD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457594830 | Brentwood Meadows, LLC | Psychiatric Hospital | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-04-14 |
| 1518506898 | Elaine Lerner | Nurse Practitioner | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2020-01-03 |
| 1699261784 | Samantha Gray | Social Worker | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2018-07-02 |
| 1528479029 | Brentwood Meadows Physician Group LLC | Nurse Practitioner | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2014-05-19 |
| 1518203918 | Institutional Pharmacy Solutions | Pharmacy | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2012-12-13 |
| 1235360058 | Michael Arisa | Psychiatry & Neurology | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184180796 | Health Quest Medical Practice, PC | Psychiatry & Neurology | 313 S William St Ste 1, Newburgh, NY 12550-5300 | 2019-02-19 |
| 1306919337 | Constantine B Vardopoulos | Psychiatry & Neurology | 141 Dogwood Ln, Newburgh, NY 12550-2027 | 2006-11-16 |
| 1679668719 | Naeem Aftab | Psychiatry & Neurology | 3 Winding Lane, Newburgh, NY 12550 | 2006-10-04 |
| 1558455832 | Todd Alvin Rochman | Psychiatry & Neurology | 400 Stony Brook Ct 1, Newburgh, NY 12550-6522 | 2006-10-03 |
| 1568430262 | Michael Edward Doyle | Psychiatry & Neurology | 70 Dubois St, 5th Floor, St. Luke's Cornwall Hospital, Newburgh, NY 12550 | 2006-03-09 |
| 1699764647 | Martin Sloane Wolfson | Psychiatry & Neurology | 141 Broadway, Newburgh, NY 12550 | 2005-10-20 |
| 1013200138 | Ryan Daniel Meshulam | Psychiatry & Neurology | 147 Lake St, Newburgh, NY 12550 | 2011-05-23 |
| 1235360058 | Michael Arisa | Psychiatry & Neurology | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-07-28 |
| 1801055041 | Lavinia E. Park | Psychiatry & Neurology | 141 Broadway, Newburgh, NY 12550-6204 | 2008-06-03 |
| 1053454413 | Louis Byron Cady | Psychiatry & Neurology | 4727 Rosebud Ln, Suite F, Newburgh, IN 47630-9225 | 2007-02-15 |
| Find all providers in NEWBURGH | ||||
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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.