MIDDLETOWN PSYCHIATRIC CENTER (NPI# 1033251921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033251921 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN PSYCHIATRIC CENTER |
| Practice Address |
122 Dorothea Dix Dr Middletown NY 10940-1907 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 8453425511 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | ROBERT PUCCIO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00476706 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407911928 | Middletown Psychiatric Center | Assisted Living Facility | 140 Old Orangeberg Rd, Orangeberg, NY 10962 | 2006-12-26 |
| 1073656500 | Middletown Psychiatric Center | Health Maintenance Organization | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-15 |
| Street Address |
122 DOROTHEA DIX DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417090952 | Nys Office of Mental Health | Clinic/Center | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-15 |
| 1073656500 | Middletown Psychiatric Center | Health Maintenance Organization | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| 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. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1144393430 | Rockland Psychiatric Center | Psychiatric Hospital | 45 Ashley Ave. Building 57, Middletown, NY 10940 | 2006-11-16 |
| 1083050249 | Ormc | Psychiatric Hospital | 707 E Main St, Middletown, NY 10940-2650 | 2013-05-15 |
| 1659614634 | Rockland Psychiatric Center | Psychiatric Hospital | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-03-28 |
| 1245256247 | State of Connecticut | Psychiatric Hospital | Silver Street, Middletown, CT 06457 | 2006-07-14 |
| 1245299726 | Garnet Health Medical Center | Psychiatric Hospital | 707 East Main Street, Middletown, NY 10940 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578012688 | Isabella Denyssenko | Psychiatric Hospital | 8 Lincoln Ave, Ardsley, NY 10502-2230 | 2016-09-30 |
| 1316493992 | St Josephs Hospital | Psychiatric Hospital | 2 Apple Tree Ln, Liverpool, NY 13090-2302 | 2016-09-01 |
| 1861866154 | Karen Hilmy | Psychiatric Hospital | 315 Murphy Ave, Endicott, NY 13760-2805 | 2015-11-24 |
| 1659759470 | Buffalo Psychiatric Center | Psychiatric Hospital | 72 Middle Road, Collins, NY 14034-0389 | 2015-05-13 |
| 1487056792 | John L. Bolling, M.d. | Psychiatric Hospital | 203 W 138th St, New York, NY 10030-2102 | 2014-09-17 |
| 1043611924 | Shaiina Marston | Psychiatric Hospital | 206 Whaley St, Freeport, NY 11520-4223 | 2014-09-10 |
| 1114334000 | Norwalk Hospital | Psychiatric Hospital | 61 W 85th St, Apartment 2b, New York, NY 10024-4120 | 2014-07-13 |
| 1417382193 | Ingrid Maria Blumenkrantz | Psychiatric Hospital | 31 W Shore Rd, Port Washington, NY 11050-3012 | 2013-09-12 |
| 1033555305 | Mount Sinai Hospital | Psychiatric Hospital | 2027 Greene Ave, Ridgewood, NY 11385-1963 | 2013-05-14 |
| 1376895938 | Nys-omh @slpc-children & Youth | Psychiatric Hospital | One Chimney Point Drive, Ogdensberg, NY 13669-2291 | 2012-10-08 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on MIDDLETOWN PSYCHIATRIC CENTER.
| 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.