MOHAWK VALLEY PSYCHIATRIC CENTER (NPI# 1891008744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891008744 |
| Entity Type | Organization |
| Organization Name | MOHAWK VALLEY PSYCHIATRIC CENTER |
| Practice Address |
1400 Noyes Street Mohawk Valley Psychiatric Center Utica NY 13502-3854 |
| Mailing Address |
1400 Noyes St Utica NY 13502-3854 |
| Practice Telephone | 3157382657 |
| Practice Fax Number | 3157384410 |
| Mailing Telephone | 3157382657 |
| Mailing Fax Number | 3157384410 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Authorized Official Name | MS. DAINE RASHFORD (DIRECTOR) |
| Authorized Official Telephone | 3157384426 |
| Authorized Official Credential | SOCIAL WORKER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 335449-1 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | REGISTERED NURSE | 335449-1 | 01 |
| 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 |
| 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 |
| 1861559080 | Mohawk Valley Psychiatric Center | Assisted Living Facility | 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 STREET MOHAWK VALLEY PSYCHIATRIC CENTER |
| City | UTICA |
| State | NY |
| Zip Code | 13502-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871602656 | Carol Declue | Social Worker | 1400 Noyes Street, Mohawk Valley Psychiatric Center- York Street Clinic, Utica, NY 13502 | 2006-08-29 |
| 1285122101 | Ruth Anne Duckworth | Social Worker | 1400 Noyes Street, Utica, NY 13502 | 2018-04-26 |
| 1003280728 | Mohawk Valley Psych Center | Psychiatric Hospital | 1400 Noyes Street, #49, Utica, NY 13502 | 2015-11-18 |
| 1336329622 | Nan Grabowski | Pharmacist | 1400 Noyes Street, Mohawk Valley Psychiatric Center - Wright Building, Utica, NY 13502-3852 | 2007-11-05 |
| 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 |
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| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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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.