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NYS OFFICE OF MENTAL HEALTH NPI 1053478289


NPI Information

NPI: 1053478289
Provider Name: NYS OFFICE OF MENTAL HEALTH
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1000 WATERS PL
BRONX, NY
ZIP 10461
Phone: (718) 239-3600
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NYS OFFICE OF MENTAL HEALTH is an adult mental health clinic center in Bronx, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NYS OFFICE OF MENTAL HEALTH NPI is 1053478289. The provider is registered as an organization entity type.

The provider's business location address is:

1000 WATERS PL
BRONX, NY
ZIP 10461-701
Phone: (718) 239-3600

The provider's authorized official is Robert Puccio .
The authorized official title is Director, Finance and has the following contact phone number (518) 473-0795.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNEW YORKNo
2261QM0850XClinic/CenterAdult Mental HealthNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100769351MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.