KINGSBORO PSYCHIATRIC CENTER (NPI# 1467996348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467996348 |
| Entity Type | Organization |
| Organization Name | KINGSBORO PSYCHIATRIC CENTER |
| Practice Address |
681 Clarkson Ave Brooklyn NY 11203-2125 |
| Practice Telephone | 7182217013 |
| Practice Fax Number | 7182217962 |
| Mailing Telephone | 7182217013 |
| Mailing Fax Number | 7182217962 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | LAURIE VELCIME (SOCIAL WORKER II) |
| Authorized Official Telephone | 7182217013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 081254 | NY | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386724045 | Kingsboro Psychiatric Center | Psychiatric Hospital | 309 Mayfair Dr N, Brooklyn, NY 11234-6715 | 2006-10-17 |
| 1720170087 | Kingsboro Psychiatric Center | Psychiatric Hospital | 24 Laurel Avenue, Tenafly, NJ 07670 | 2006-09-28 |
| 1689156259 | Kingsboro Psychiatric Center | Nursing Care | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2018-08-30 |
| 1891156410 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-03-09 |
| 1003126046 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-10-08 |
| 1578880944 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-26 |
| 1801112131 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-12 |
| 1992869804 | Kingsboro Psychiatric Center | Pharmacy | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| 1548324452 | Kingsboro Psychiatric Center | Health Maintenance Organization | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| 1184704736 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-10-17 |
| Street Address |
681 CLARKSON AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457431546 | Dhananjay A Bhagogi | Internal Medicine | 681 Clarkson Ave, Building 2, Brooklyn, NY 11203-2125 | 2006-10-16 |
| 1588295034 | Victoria Tayese | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2020-02-03 |
| 1548806979 | William Brown | Student in an Organized Health Care Education/Training Program | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-11-20 |
| 1295378461 | Racheal Olufunke Ajiboye | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-21 |
| 1194367854 | Rose Boutin | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-15 |
| 1508407875 | Nathaniel Ajibade | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1316588684 | Modupe Kolawole | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-08 |
| 1861033359 | Irshad Amirali Sumar | Psychiatry & Neurology | 681 Clarkson Ave, Brooklyn, NY 11203-2199 | 2019-10-05 |
| 1710528799 | Corazon Tapere Ty | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-10-01 |
| 1043851215 | Raisa Suelyn Harrington | Registered Nurse | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1942413695 | Maimonides Medical Center | Psychiatric Unit | 920 48 Street, Brooklyn, NY 11219 | 2007-05-08 |
| 1508377334 | New York Community Hospital of Brooklyn Inc | Psychiatric Unit | 2525 Kings Hwy, Brooklyn, NY 11229-1705 | 2017-10-19 |
| 1528432622 | Nyu Langone Hospitals | Psychiatric Unit | 150 55th St, Brooklyn, NY 11220-2559 | 2015-11-30 |
| 1972864213 | Woodhull Hospital | Psychiatric Unit | 760 Broadway, Brooklyn, NY 11206-5317 | 2012-06-04 |
| 1992036404 | Suny Downstate Medcial Center At Lich | Psychiatric Unit | 339 Hicks St, Brooklyn, NY 11201-5509 | 2010-01-22 |
| 1710122627 | Long Island College Hospital | Psychiatric Unit | 339 Hicks St, Brooklyn, NY 11201-5509 | 2008-12-05 |
| 1316112600 | Kingsbrook Jewish Medical Center | Psychiatric Unit | 585 Schenectady Ave, Brooklyn, NY 11203-1851 | 2008-04-28 |
| 1588868889 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-12 |
| 1669674016 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-05 |
| Find all providers in BROOKLYN | ||||
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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.