PILGRIM PSYCHIATRIC CENTER (NPI# 1306900212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306900212 |
| Entity Type | Organization |
| Organization Name | PILGRIM PSYCHIATRIC CENTER |
| Practice Address |
998 Crooked Hill Rd West Brentwood NY 11717-1043 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 6317613500 |
| Enumeration Date | 2006-12-22 |
| 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 | 302R00000X | Health Maintenance Organization | NY | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01618744 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992237366 | Pilgrim Psychiatric Center | Psychiatric Unit | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2017-04-03 |
| 1154864338 | Pilgrim Psychiatric Center | Psychiatric Hospital | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-11-21 |
| 1043679376 | Pilgrim Psychiatric Center | Case Management | 998 Crooked Hill Rd, Building 69, West Brentwood, NY 11717-1019 | 2016-02-15 |
| 1497199707 | Pilgrim Psychiatric Center | Psychiatric Hospital | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2013-04-18 |
| 1588907455 | Pilgrim Psychiatric Center | Psychiatric Unit | 175 Fulton Ave, Hempstead, NY 11550-3150 | 2013-03-29 |
| 1871898817 | Pilgrim Psychiatric Center | Psychiatric Hospital | 550 E Main St, Suite 103, Riverhead, NY 11901-2672 | 2011-01-24 |
| 1396809208 | Pilgrim Psychiatric Center | Clinic/Center | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
| 1124182035 | Pilgrim Psychiatric Center | Assisted Living Facility | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
| 1295899102 | Pilgrim Psychiatric Center | Pharmacy | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
| Street Address |
998 CROOKED HILL RD |
| City | WEST BRENTWOOD |
| State | NY |
| Zip Code | 11717-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721916 | Herminia Hermogenes | Psychiatry & Neurology | 998 Crooked Hill Rd, Bldg. 56, West Brentwood, NY 11717-1043 | 2006-06-23 |
| 1740887124 | Christian Ciaburri | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-10-08 |
| 1437771011 | Noelle Vidaic | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-18 |
| 1679194112 | Maryna Krumholz | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-06 |
| 1427679695 | Christine Simcich | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-29 |
| 1538789086 | Carolyn Herold | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1992325450 | Henry Vonpoleski | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1851925903 | Marvett A Malcolm | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-02-27 |
| 1992346621 | Diane Lopez-mahabir | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-10-03 |
| 1770133423 | Ivan Leonidas Giannou | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487846390 | Pilgrim PC | Health Maintenance Organization | 998 Crooked Hill Rd, West Brentwood, NY 11717-1087 | 2007-08-14 |
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| 1053822825 | Heritage Health Systems of New York, Inc. | Health Maintenance Organization | 44 S Broadway, White Plains, NY 10601-4425 | 2017-10-19 |
| 1366953747 | Wellcare Health Insurance of New York, Inc. | Health Maintenance Organization | 1 New York Plz Fl 15, New York, NY 10004-1953 | 2017-10-12 |
| 1053820704 | Si Senior Center Inc | Health Maintenance Organization | 364 Bay St, Staten Island, NY 10301-3267 | 2017-09-26 |
| 1255850608 | C R E Adult Day Care Center Inc. | Health Maintenance Organization | 9815 Horace Harding Expy Ste 1m, Corona, NY 11368-4249 | 2017-09-18 |
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| City | WEST BRENTWOOD |
| Zip Code | 11717 |
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| 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.