SUFFOLK ICM PROGRAM NPI 1184962177

NPI Information

  • NPI: 1184962177
  • Provider Name: SUFFOLK ICM PROGRAM
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Other Name: PILGRIM PSYCHIATRIC CENTER
  • Address: 998 CROOKED HILL RD
    BRENTWOOD, NY
    ZIP 11717
  • Phone: (631) 761-4181

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NPI Details

SUFFOLK ICM PROGRAM is a psychiatric hospital in Brentwood, NY. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. SUFFOLK ICM PROGRAM NPI is 1184962177. The provider is registered as an organization entity type.
The provider Other Name Is Pilgrim Psychiatric Center.

The provider's business location address is:

998 CROOKED HILL RD
BRENTWOOD, NY
ZIP 11717-019
Phone: (631) 761-4181

The provider's authorized official is Joseph John Casey .
The authorized official title is Icm Supervisor and has the following contact phone number (631) 761-4181.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 1/25/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric HospitalNo
2283Q00000XPsychiatric Hospital283Q00000XNEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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