NYS OFFICE OF MENTAL HEALTH (NPI# 1588033609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588033609 |
| Entity Type | Organization |
| Organization Name | NYS OFFICE OF MENTAL HEALTH |
| Other Organization Name | ROCKLAND PC SOCR |
| Practice Address |
140 Old Orangeburg Rd Orangeburg NY 10962-1157 |
| Mailing Address |
44 Holland Ave Albany NY 12208-3411 |
| Practice Telephone | 2123690500 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | BETH GIARRUSSO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184742962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rockland PC SOCR | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763348 | Nys Office of Mental Health | Psychiatric Residential Treatment Facility | 305 Plymouth Ct, Uniondale, NY 11553-1930 | 2013-03-12 |
| 1992949275 | Nys Office of Mental Health | Pharmacy | 44 Holland Avenune, Attn: Finance Group/mgp, Albany, NY 12229-0001 | 2009-04-30 |
| 1073670519 | Nys Office of Mental Health | Psychiatric Hospital | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2007-01-03 |
| 1104983329 | Nys Office of Mental Health | Clinic/Center | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-01-03 |
| 1629135850 | Nys Office of Mental Health | Psychiatric Hospital | Box 158 Route 17-m, New Hampton, NY 10958 | 2007-01-03 |
| 1346598208 | Nys Office of Mental Health | Psychiatric Hospital | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2012-08-27 |
| 1831446798 | Nys Office of Mental Health | Clinic/Center | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2012-08-10 |
| 1033375258 | Nys Office of Mental Health | Psychiatric Hospital | 9005 Old River Rd, Marcy, NY 13403-3000 | 2008-08-07 |
| 1194917930 | Nys Office of Mental Health | Health Maintenance Organization | 425 Robinson St, Binghamton, NY 13904-1735 | 2007-08-15 |
| 1417090952 | Nys Office of Mental Health | Clinic/Center | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-15 |
| Street Address |
140 OLD ORANGEBURG RD |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386904 | Edward Richard Herman | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2006-02-22 |
| 1629696489 | Angela Cabble | Counselor | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-07-08 |
| 1558985150 | Faryal Majid Glootz | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-31 |
| 1538781653 | Charles Mathew | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-12 |
| 1720615933 | Kerry Ann Walsh | Registered Nurse | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-03-26 |
| 1922631662 | Margaret Bocage | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962 | 2020-02-21 |
| 1598310120 | Marlee Elizabeth Fickes | Social Worker | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-08-09 |
| 1720631963 | Moise Kenneth Belizaire | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2019-07-17 |
| 1356825202 | Kate Cingel | Psychologist | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-09-17 |
| 1407341266 | Nashony Sappleton | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665761 | The Blake Rcf | Assisted Living Facility | 1219 Jasper St, Orangeburg, SC 29115-3570 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578911921 | Leroy Manor | Assisted Living Facility | 8678 Lake Street Road, Leroy, NY 14482 | 2016-05-26 |
| 1043679384 | Blakes Income Tax Services | Assisted Living Facility | 4509 White Plains Road, Bronx, NY 10470 | 2016-02-15 |
| 1578909594 | Tanis Phillips | Assisted Living Facility | 98 Cathedral Ln, Cheektowaga, NY 14225-4612 | 2013-05-16 |
| 1770783813 | Loretto Geriatric Community Residence | Assisted Living Facility | 750 E Brighton Ave, Syracuse, NY 13205-2201 | 2007-07-18 |
| 1861526055 | Ohel Children's Home &family Services | Assisted Living Facility | 1217 Gateway Blvd, Far Rockaway, NY 11691 | 2007-03-16 |
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1407911928 | Middletown Psychiatric Center | Assisted Living Facility | 140 Old Orangeberg Rd, Orangeberg, NY 10962 | 2006-12-26 |
| 1487057972 | Mary Agnes Manor | Assisted Living Facility | 307 Porter Ave, Buffalo, NY 14201-1031 | 2014-09-29 |
| 1740683226 | Heritage Manor of Ransomville | Assisted Living Facility | 3509 Ransomville Rd, Ransomville, NY 14131-9602 | 2014-09-29 |
| 1619123999 | Crystal Run Village | Assisted Living Facility | 601 Stony Ford Rd, Middletown, NY 10941-3951 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
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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.