CREEDMOR PSYCHIATRIC CENTER NPI 1497022800

NPI Information

  • NPI: 1497022800
  • Provider Name: CREEDMOR PSYCHIATRIC CENTER
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Address: 7925 WINCHESTER BOULEVARD
    CREEDMOOR PSYCHIATRIC CENTER MEDICAL EDUCATION
    QUEENS VILLAGE, NY
    ZIP 11427
  • Phone: (718) 264-5030

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NPI Details

CREEDMOR PSYCHIATRIC CENTER is a psychiatric hospital in Queens Village, 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. CREEDMOR PSYCHIATRIC CENTER NPI is 1497022800. The provider is registered as an organization entity type.

The provider's business location address is:

7925 WINCHESTER BOULEVARD
CREEDMOOR PSYCHIATRIC CENTER MEDICAL EDUCATION
QUEENS VILLAGE, NY
ZIP 11427
Phone: (718) 264-5030

The provider's authorized official is Swapna Donepudi .
The authorized official title is Pgy-1 and has the following contact phone number (985) 713-6141.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.

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
1273R00000XPsychiatric UnitNo
2283Q00000XPsychiatric HospitalYes

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: 11/21/2025

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