CREEDMOOR PSYCHIATRIC CENTER (NPI# 1699928341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699928341 |
| Entity Type | Organization |
| Organization Name | CREEDMOOR PSYCHIATRIC CENTER |
| Practice Address |
7925 Winchester Blvd Queens Village NY 11427-2128 |
| Practice Telephone | 7182645030 |
| Mailing Telephone | 7182645030 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | DR. JEAN WANGECHI MUGO (RESIDENT PHYSICIAN) |
| Authorized Official Telephone | 5162630078 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| 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 |
| 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 |
| 1649334541 | Creedmoor Psychiatric Center | Pharmacy | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-12-22 |
| Street Address |
7925 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411724 | Raiyasari Bangaru | Psychiatry & Neurology | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2006-10-17 |
| 1518583400 | Derryck Nesbitt | Social Worker | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-06-17 |
| 1093344624 | Amritha Mangalat | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-06 |
| 1619506490 | Jacob Gohari | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-03 |
| 1013546092 | Fairooz Abida | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1144859125 | Mary Camille Palisoc | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1750922092 | Diona Ceniza | Art Therapist | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-10-07 |
| 1164983763 | Anthony Chih Duong | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1306307988 | Adam Bernstein | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1336610286 | Russell Miravite | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 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 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
| 1851617153 | Annette M Graffeo | Psychiatric Unit | 35 Marcus Rd, Ellenville, NY 12428-5762 | 2010-04-12 |
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| 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.