Provider Type Icon

NYS OFFICE OF MENTAL HEALTH NPI 1194889097


NPI Information

NPI: 1194889097
Provider Name: NYS OFFICE OF MENTAL HEALTH

Other Name: CREEDMOOR PSYCHIATRIC CENTER

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY
ZIP 11427
Phone: (718) 464-7500
Get Directions

NYS OFFICE OF MENTAL HEALTH is an adult mental health clinic center in Queens Village, 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 1194889097. The provider is registered as an organization entity type.
The provider Other Name Is Creedmoor Psychiatric Center.

The provider's business location address is:

7925 WINCHESTER BLVD
QUEENS VILLAGE, NY
ZIP 11427-128
Phone: (718) 464-7500

The provider's authorized official is Beth Giarrusso .
The authorized official title is Director, Finance and has the following contact phone number (518) 473-3598.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 4/12/2017.


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
23336S0011XPharmacySpecialty PharmacyNEW YORKNo
3261QM0850XClinic/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
100769411MEDICAIDNEW YORK
202711475MEDICAIDNEW YORK
3334004MEDICARE OSCAR/CERTIFICATIONNEW 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: 4/28/2024

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.