ST. LAWRENCE PSYCHIATRIC CENTER (NPI# 1780135749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780135749 |
| Entity Type | Organization |
| Organization Name | ST. LAWRENCE PSYCHIATRIC CENTER |
| Practice Address |
28 William St Gouverneur NY 13642-1405 |
| Mailing Address |
1 Chimney Point Dr Ogdensburg NY 13669-2201 |
| Practice Telephone | 3152872811 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | TIMOTHY FARRELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3152872811 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 098637-1 | NY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922471101 | St. Lawrence Psychiatric Center | Psychiatric Hospital | 1 Chimney Point Dr, Ogdensburg, NY 13669-2212 | 2015-11-10 |
| 1700258159 | St. Lawrence Psychiatric Center | Psychiatric Hospital | 23 Maple St, Massena, NY 13662-1017 | 2015-10-26 |
| 1669811881 | St. Lawrence Psychiatric Center | Community/Behavioral Health | 28 William St, Gouverneur, NY 13642-1405 | 2013-06-20 |
| 1720145956 | St. Lawrence Psychiatric Center | Pharmacy | 1 Chimney Point Dr, Ogdensburg, NY 13669-2212 | 2007-01-03 |
| 1467519694 | St. Lawrence Psychiatric Center | Health Maintenance Organization | 1 Chimney Point Dr, Ogdensburg, NY 13669-2212 | 2007-01-03 |
| 1457440414 | St. Lawrence Psychiatric Center | Psychiatric Hospital | 1 Chimney Point Dr, Ogdensburg, NY 13669-2212 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. LAWRENCE PSYCHIATRIC CENTER EMPLOYEE ACTIVITIES ASSOCIATION, INC. | Station A, Ogdensburg, Ny 13669 |
| Street Address |
28 WILLIAM ST |
| City | GOUVERNEUR |
| State | NY |
| Zip Code | 13642-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528388014 | Cynthia T Sherman | Counselor | 28 William St, Gouverneur Mental Health, Gouverneur, NY 13642-1405 | 2010-06-07 |
| 1083264857 | Denise Marie Herheim | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2019-09-13 |
| 1316499478 | Carrie Lynn Whitford | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-25 |
| 1215488382 | Alex Dickinson | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-24 |
| 1063861771 | Paula Williams | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-06-03 |
| 1336527373 | Sharon Macdonald | Licensed Practical Nurse | 28 William St, Gouverneur, NY 13642-1405 | 2015-05-11 |
| 1215346200 | Dara Lee Wurzburg | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2014-08-05 |
| 1700217759 | Emily Marie Kuntz | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2013-12-02 |
| 1558798009 | Christina Harman | Registered Nurse | 28 William St, Gouverneur, NY 13642-1405 | 2013-09-30 |
| 1669811881 | St. Lawrence Psychiatric Center | Community/Behavioral Health | 28 William St, Gouverneur, NY 13642-1405 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737933 | Heather Miller | Technician | 52 Cambray St, Gouverneur, NY 13642 | 2019-08-30 |
| 1295184554 | Payam Hadian | Family Medicine | 77 W Barney Street, Family Practice, Gouverneur, NY 13642 | 2016-06-08 |
| 1447484894 | Danny Len Holmes | Licensed Practical Nurse | 289 County Route #11, Gouverneur, NY 13642 | 2009-05-13 |
| 1235386657 | Alexander Edward Kuehl | Emergency Medicine | 95 Rock Island, Gouverneur, NY 13642 | 2008-08-27 |
| 1639228083 | Michael F Lapierre Pt | Physical Therapist | 173 East Main Street, Gouverneur, NY 13642 | 2007-01-08 |
| 1386748416 | Abdur R Jalazai Md PC | Internal Medicine | 63 West Barney St, Gouverneur, NY 13642 | 2006-09-11 |
| 1023052966 | Donell Jean Wright | Chiropractor | 137 E. Main Street, Suite 5, Gouverneur, NY 13642 | 2006-06-14 |
| 1699771295 | Teresa V Dombek-lang | Family Medicine | 77 W. Barney St., Gouverneur, NY 13642 | 2005-06-28 |
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1629409925 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-12 |
| Find all providers in zip 13642 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669811881 | St. Lawrence Psychiatric Center | Community/Behavioral Health | 28 William St, Gouverneur, NY 13642-1405 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538152 | Monette Counseling Services LLC | Community/Behavioral Health | 159 Margaret St Ste 225, Plattsburgh, NY 12901-1874 | 2020-11-06 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1407462948 | Shawn Muthersbaugh Lcsw Pllc | Community/Behavioral Health | 120 Defreest Dr Ste 175, Troy, NY 12180-7608 | 2020-09-21 |
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1831701630 | Debra L. Terry Lcsw, P.C. | Community/Behavioral Health | 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 | 2020-08-21 |
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1598383796 | Chemung-schuyler Counties Chapter, Nysarc, Inc. | Community/Behavioral Health | 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 | 2020-07-14 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1043836943 | Cornerstone Behavioral Services, LLC. | Community/Behavioral Health | 3670 Orchard Rd, Wantagh, NY 11793-3131 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | GOUVERNEUR |
| Zip Code | 13642 |
Please comment or provide details below to improve the information on ST. LAWRENCE PSYCHIATRIC CENTER.
| 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.