MIDDLETOWN MENTAL HEALTH CLINIC (NPI# 1568789154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568789154 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN MENTAL HEALTH CLINIC |
| Practice Address |
45 Ashley Ave Middletown NY 10940-1912 |
| Practice Telephone | 8453438118 |
| Practice Fax Number | 8453268155 |
| Mailing Telephone | 8453438118 |
| Mailing Fax Number | 8453268155 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | MR. JAMES JOSEPH BERRY (FAMILY CARE NURSE) |
| Authorized Official Telephone | 8453268094 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 3068341 | NY | Hospital Units |
| Street Address |
45 ASHLEY AVE |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399702 | Joanne Tortomas Brodkin White | Psychiatry & Neurology | 45 Ashley Ave, Middletown, NY 10940-1912 | 2006-11-03 |
| 1467089276 | Luico Hallman IIi | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2020-03-24 |
| 1891279253 | Benjamin Levine | Social Worker | 45 Ashley Ave, Middletown, NY 10940-1912 | 2018-09-21 |
| 1598293813 | Robin Green | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2017-05-31 |
| 1245767532 | Conrad Learned Johnson | Social Worker | 45 Ashley Ave, Middletown, NY 10940-1912 | 2017-05-17 |
| 1568894343 | Marlene Bastien | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-08-05 |
| 1376975177 | Adrienne Louise Denson | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-08-02 |
| 1316280506 | Laurel Sharp | Registered Nurse | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-04-05 |
| 1659614634 | Rockland Psychiatric Center | Psychiatric Hospital | 45 Ashley Ave, Middletown, NY 10940-1912 | 2013-03-28 |
| 1740505452 | Rockland Psychiatric Center | Psychiatric Unit | 45 Ashley Ave, Middletown, NY 10940-1912 | 2010-04-06 |
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| 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 |
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| 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 |
|---|---|---|---|---|
| 1821314220 | Joyce Barbara Lyons | Psychiatric Unit | 53 Poplar Ln, Middletown, NY 10941-1305 | 2010-04-12 |
| 1417273756 | Maria I Charney | Psychiatric Unit | 45 Ashley Ave Bldg 57, Middletown, NY 10940-1912 | 2010-04-12 |
| 1003131673 | Rockland Psychiatric Hospital | Psychiatric Unit | 57 Dorothea Dix Dr, Middletown, NY 10940-1904 | 2010-04-07 |
| 1740505452 | Rockland Psychiatric Center | Psychiatric Unit | 45 Ashley Ave, Middletown, NY 10940-1912 | 2010-04-06 |
| 1750606018 | Colleen Faust | Psychiatric Unit | 45 Ashley Ave, Middletown, NY 10940-1912 | 2010-03-30 |
| 1215252507 | Julie Denny | Psychiatric Unit | 45 Ashley Ave, Middletown, NY 10940-1912 | 2010-03-30 |
| 1841515178 | Rpc-middletown Mental Health Clinic | Psychiatric Unit | 45 Ashley Ave, Middletown, NY 10940-1912 | 2010-03-30 |
| 1326363698 | Bonnie Osterdahl | Psychiatric Unit | 45 Ashley Ave, Middletown, NY 10940-1912 | 2010-03-30 |
| 1982652343 | Middlesex Hospital | Psychiatric Unit | 28 Crescent St, Middletown, CT 06457-3654 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
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| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.