NYS OFFICE OF MENTAL HEALTH (NPI# 1417090952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417090952 |
| Entity Type | Organization |
| Organization Name | NYS OFFICE OF MENTAL HEALTH |
| Practice Address |
122 Dorothea Dix Dr Middletown NY 10940-1907 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 8453425511 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-08-12 |
| 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 |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
NY | Ambulatory Health Care Facilities | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00769535 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763348 | Nys Office of Mental Health | Psychiatric Residential Treatment Facility | 305 Plymouth Ct, Uniondale, NY 11553-1930 | 2013-03-12 |
| 1992949275 | Nys Office of Mental Health | Pharmacy | 44 Holland Avenune, Attn: Finance Group/mgp, Albany, NY 12229-0001 | 2009-04-30 |
| 1073670519 | Nys Office of Mental Health | Psychiatric Hospital | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2007-01-03 |
| 1104983329 | Nys Office of Mental Health | Clinic/Center | 197 Half Hollow Rd, Dix Hills, NY 11746-5861 | 2007-01-03 |
| 1629135850 | Nys Office of Mental Health | Psychiatric Hospital | Box 158 Route 17-m, New Hampton, NY 10958 | 2007-01-03 |
| 1588033609 | Nys Office of Mental Health | Assisted Living Facility | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2015-09-18 |
| 1346598208 | Nys Office of Mental Health | Psychiatric Hospital | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2012-08-27 |
| 1831446798 | Nys Office of Mental Health | Clinic/Center | 7403 Commonwealth Blvd, Bellerose, NY 11426-1839 | 2012-08-10 |
| 1033375258 | Nys Office of Mental Health | Psychiatric Hospital | 9005 Old River Rd, Marcy, NY 13403-3000 | 2008-08-07 |
| 1194917930 | Nys Office of Mental Health | Health Maintenance Organization | 425 Robinson St, Binghamton, NY 13904-1735 | 2007-08-15 |
| Street Address |
122 DOROTHEA DIX DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-1907 |
| 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 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426436 | A New Beginning Counseling | Clinic/Center | 410 N Ramunno Dr Unit 312, Middletown, DE 19709-3090 | 2020-10-27 |
| 1033404025 | The Connection, Inc. | Clinic/Center | 100 Roscommon Dr, Middletown, CT 06457-1591 | 2011-06-17 |
| 1952442725 | The Connection Inc. | Clinic/Center | 196 Court St, Middletown, CT 06457-3302 | 2007-02-12 |
| 1427074426 | State of Connecticut | Clinic/Center | Silver Street, Dutton Home, Middletown, CT 06457 | 2006-07-14 |
| 1225063860 | State of Connecticut | Clinic/Center | 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-07-12 |
| 1518948025 | Gilead Community Services, Inc. | Clinic/Center | 230 Main Street Ext, Middletown, CT 06457-4470 | 2005-11-10 |
| 1609351477 | Pax Treatment Centers LLC | Clinic/Center | 4302 Roosevelt Blvd, Middletown, OH 45044-6625 | 2018-09-27 |
| 1861911455 | Small Victories Wellness Services, Pllc | Clinic/Center | 424 High St, Middletown, CT 06457-2633 | 2017-09-14 |
| 1124405709 | River Rock Psychiatry, LLC | Clinic/Center | 11 S Main St, Ste 2, Middletown, CT 06457-3656 | 2015-05-02 |
| 1225339666 | The Connection Inc. | Clinic/Center | 955 S Main St, Middletown, CT 06457-5153 | 2010-11-16 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on NYS OFFICE OF MENTAL HEALTH.
| 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.