CREEDMOOR PSYCHIATRIC CENTER (NPI# 1730243635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730243635 |
| Entity Type | Organization |
| Organization Name | CREEDMOOR PSYCHIATRIC CENTER |
| Practice Address |
8045 Winchester Blvd Queens Village NY 11427-2193 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 7184647500 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | BETH GIARRUSSO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02610819 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821467788 | Creedmoor Psychiatric Center | Case Management | 137 Heathcote Rd, Elmont, NY 11003-2005 | 2015-09-22 |
| 1699817577 | Creedmoor Psychiatric Center | Psychiatric Hospital | 31 Roslyn West Shore Rd, Port Washington, NY 11050 | 2007-02-13 |
| 1386785400 | Creedmoor Psychiatric Center | Chronic Disease Hospital | Creedmoor Psychiatric Center, 80-45 Winchester Blvd, Queens Village, NY 11427 | 2007-02-09 |
| 1205113925 | Creedmoor Psychiatric Center | Long Term Care Hospital | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2011-11-09 |
| 1235415126 | Creedmoor Psychiatric Center | Psychiatric Hospital | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2011-10-24 |
| 1699928341 | Creedmoor Psychiatric Center | Psychiatric Unit | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2008-10-28 |
| 1063671774 | Creedmoor Psychiatric Center | Psychiatric Hospital | 7925 Winchester Blvd, Queens Village, NY 11427 | 2008-06-06 |
| 1003970906 | Creedmoor Psychiatric Center | Health Maintenance Organization | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-12-22 |
| 1649334541 | Creedmoor Psychiatric Center | Pharmacy | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-12-22 |
| Street Address |
8045 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063529907 | Hemlata Dalvi | Psychiatry & Neurology | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-08-24 |
| 1790226058 | Saly Geevarghese | Registered Nurse | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2017-03-19 |
| 1528509544 | Lise Hershkowitz | Occupational Therapist | 8045 Winchester Blvd, Ot Department, Queens Village, NY 11427-2193 | 2017-03-09 |
| 1205381910 | Jie Wu | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-08-23 |
| 1992165799 | Pauline Prin | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-03-07 |
| 1346609245 | Kimberly Mosley | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-02-19 |
| 1386001410 | Jacqueline Bailey | Community Health Worker | 8045 Winchester Blvd, Bldg 73 Second Floor, Queens Village, NY 11427-2193 | 2016-01-20 |
| 1679939771 | Sanije Tabares | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-01-06 |
| 1124483128 | Magalie Pierre | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2015-12-18 |
| 1255796256 | Cynthia Bono | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2015-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
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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.