MOHAWK VALLEY PSYCHIATRIC CENTER (NPI# 1861559080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861559080 |
| 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 | 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 | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01402437 | 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 |
| 1760549984 | Mohawk Valley Psychiatric Center | Pharmacy | 1400 Noyes St, Utica, NY 13502-3854 | 2007-01-03 |
| 1497812614 | Mohawk Valley Psychiatric Center | Health Maintenance Organization | 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 13502 | ||||
| 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] |
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|---|---|---|---|---|
| 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 |
| 1588033609 | Nys Office of Mental Health | Assisted Living Facility | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2015-09-18 |
| 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 |
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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.