CREEDMOOR PSYCHIATRIC CENTER (NPI# 1649334541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649334541 |
| Entity Type | Organization |
| Organization Name | CREEDMOOR PSYCHIATRIC CENTER |
| Practice Address |
8045 Winchester Blvd Queens Village NY 11427-2193 |
| Mailing Address |
44 Holland Ave Attn: Sofg/medicare D Albany NY 12229-0000 |
| Practice Telephone | 7184647500 |
| Mailing Fax Number | 5184864303 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | BETH GAIL GIARRUSSO (FINANCE DIRECTOR) |
| Authorized Official Telephone | 5184733598 |
| Is Organization Subpart | Y |
| Parent Organization Name | NYS OFFICE OF MENTAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
NY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821467788 | Creedmoor Psychiatric Center | Case Management | 137 Heathcote Rd, Elmont, NY 11003-2005 | 2015-09-22 |
| 1699817577 | Creedmoor Psychiatric Center | Psychiatric Hospital | 31 Roslyn West Shore Rd, Port Washington, NY 11050 | 2007-02-13 |
| 1386785400 | Creedmoor Psychiatric Center | Chronic Disease Hospital | Creedmoor Psychiatric Center, 80-45 Winchester Blvd, Queens Village, NY 11427 | 2007-02-09 |
| 1205113925 | Creedmoor Psychiatric Center | Long Term Care Hospital | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2011-11-09 |
| 1235415126 | Creedmoor Psychiatric Center | Psychiatric Hospital | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2011-10-24 |
| 1699928341 | Creedmoor Psychiatric Center | Psychiatric Unit | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2008-10-28 |
| 1063671774 | Creedmoor Psychiatric Center | Psychiatric Hospital | 7925 Winchester Blvd, Queens Village, NY 11427 | 2008-06-06 |
| 1003970906 | Creedmoor Psychiatric Center | Health Maintenance Organization | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-12-22 |
| 1730243635 | Creedmoor Psychiatric Center | Clinic/Center | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-12-22 |
| Street Address |
8045 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063529907 | Hemlata Dalvi | Psychiatry & Neurology | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-08-24 |
| 1790226058 | Saly Geevarghese | Registered Nurse | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2017-03-19 |
| 1528509544 | Lise Hershkowitz | Occupational Therapist | 8045 Winchester Blvd, Ot Department, Queens Village, NY 11427-2193 | 2017-03-09 |
| 1205381910 | Jie Wu | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-08-23 |
| 1992165799 | Pauline Prin | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-03-07 |
| 1346609245 | Kimberly Mosley | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-02-19 |
| 1386001410 | Jacqueline Bailey | Community Health Worker | 8045 Winchester Blvd, Bldg 73 Second Floor, Queens Village, NY 11427-2193 | 2016-01-20 |
| 1679939771 | Sanije Tabares | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-01-06 |
| 1124483128 | Magalie Pierre | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2015-12-18 |
| 1255796256 | Cynthia Bono | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2015-12-18 |
| Find all providers in the same location | ||||
| 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 | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013495423 | Parkview Niagara Street, LLC | Pharmacy | 1050 Niagara Street, Suite 110, Buffalo, NY 14213-2007 | 2018-07-30 |
| 1467822163 | New York City Health and Hospitals Corp | Pharmacy | 275 Atlantic Ave, Brooklyn, NY 11201-5714 | 2015-10-07 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1376945618 | Pine Pharmaceuticals, LLC | Pharmacy | 100 Colvin Woods Pkwy Ste 300, Tonawanda, NY 14150-6974 | 2014-09-18 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1649318767 | Thales Well Pharmacy Inc | Pharmacy | 1785 New York Ave, Huntington Station, NY 11746-1727 | 2007-02-01 |
| 1154488476 | United Health Services, Inc. | Pharmacy | 10 42 Mitchell Ave, Binghamton, NY 13903-1602 | 2007-01-03 |
| 1134137375 | New York City Health and Hospitals Corporation | Pharmacy | 545 E 142nd St, Bronx, NY 10454-2110 | 2006-08-03 |
| 1427063270 | New York City Health and Hospitals Corporation | Pharmacy | 234 E 149th St Rm 2a1, Bronx, NY 10451-5504 | 2006-07-30 |
| 1437783461 | Christina Bumbalo | Pharmacy | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
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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.