MIDDLETOWN PSYCHIATRIC CENTER (NPI# 1407911928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407911928 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN PSYCHIATRIC CENTER |
| Practice Address |
140 Old Orangeberg Rd Orangeberg NY 10962 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 2123690500 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | BETH GIARRUSSO (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01402455 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033251921 | Middletown Psychiatric Center | Psychiatric Hospital | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-14 |
| 1073656500 | Middletown Psychiatric Center | Health Maintenance Organization | 122 Dorothea Dix Dr, Middletown, NY 10940-1907 | 2007-02-15 |
| Street Address |
140 OLD ORANGEBERG RD |
| City | ORANGEBERG |
| State | NY |
| Zip Code | 10962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578911921 | Leroy Manor | Assisted Living Facility | 8678 Lake Street Road, Leroy, NY 14482 | 2016-05-26 |
| 1043679384 | Blakes Income Tax Services | Assisted Living Facility | 4509 White Plains Road, Bronx, NY 10470 | 2016-02-15 |
| 1578909594 | Tanis Phillips | Assisted Living Facility | 98 Cathedral Ln, Cheektowaga, NY 14225-4612 | 2013-05-16 |
| 1770783813 | Loretto Geriatric Community Residence | Assisted Living Facility | 750 E Brighton Ave, Syracuse, NY 13205-2201 | 2007-07-18 |
| 1861526055 | Ohel Children's Home &family Services | Assisted Living Facility | 1217 Gateway Blvd, Far Rockaway, NY 11691 | 2007-03-16 |
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1588033609 | Nys Office of Mental Health | Assisted Living Facility | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2015-09-18 |
| 1487057972 | Mary Agnes Manor | Assisted Living Facility | 307 Porter Ave, Buffalo, NY 14201-1031 | 2014-09-29 |
| 1740683226 | Heritage Manor of Ransomville | Assisted Living Facility | 3509 Ransomville Rd, Ransomville, NY 14131-9602 | 2014-09-29 |
| 1619123999 | Crystal Run Village | Assisted Living Facility | 601 Stony Ford Rd, Middletown, NY 10941-3951 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBERG |
| Zip Code | 10962 |
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.