CREEDMOR PSYCHIATRIC CENTER (NPI# 1497022800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497022800 |
| Entity Type | Organization |
| Organization Name | CREEDMOR PSYCHIATRIC CENTER |
| Practice Address |
7925 Winchester Boulevard Creedmoor Psychiatric Center Medical Education Queens Village NY 11427 |
| Mailing Address |
3110 23rd St 5e Astoria NY 11106-4585 |
| Practice Telephone | 7182645030 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | SWAPNA DONEPUDI (PGY-1) |
| Authorized Official Telephone | 9857136141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Street Address |
7925 WINCHESTER BOULEVARD CREEDMOOR PSYCHIATRIC CENTER MEDICAL EDUCATION |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| 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 |
|---|---|---|---|---|
| 1235415126 | Creedmoor Psychiatric Center | Psychiatric Hospital | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2011-10-24 |
| 1366746125 | Maria Fabunan | Psychiatric Hospital | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2011-01-07 |
| 1063671774 | Creedmoor Psychiatric Center | Psychiatric Hospital | 7925 Winchester Blvd, Queens Village, NY 11427 | 2008-06-06 |
| 1306025770 | Lyudmila Levy | Psychiatric Hospital | 22110 Jamaica Ave, Rm 21, Queens Village, NY 11428-2037 | 2007-11-01 |
| 1528193075 | Abul H.m.s. Quadir | Psychiatric Hospital | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2007-02-23 |
| 1831253004 | Nys Office of Mental Health | Psychiatric Hospital | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-12-21 |
| 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 | QUEENS VILLAGE |
| Zip Code | 11427 |
Please comment or provide details below to improve the information on CREEDMOR 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.