SOUTH BEACH PSYCHIATRIC CENTER (NPI# 1700195450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700195450 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH PSYCHIATRIC CENTER |
| Practice Address |
250 Baltic St Brooklyn NY 11201-6401 |
| Mailing Address |
777 Seaview Ave Staten Island NY 10305-3409 |
| Practice Telephone | 7188553131 |
| Practice Fax Number | 7188554011 |
| Mailing Telephone | 7186672495 |
| Mailing Fax Number | 7186672331 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | MR. MICHAEL HUGH FELDLER (CHIEF OF SERVICE) |
| Authorized Official Telephone | 7186672495 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0018761 | NY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891155560 | South Beach Psychiatric Center | Local Education Agency (LEA) | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2016-02-24 |
| 1194061275 | South Beach Psychiatric Center | Psychiatric Hospital | 8620 18th Ave, Brooklyn, NY 11214-3702 | 2012-12-18 |
| 1740347962 | South Beach Psychiatric Center | Pharmacy | 777 Seaview Ave, Staten Island, NY 10305-3436 | 2007-01-03 |
| 1386701506 | South Beach Psychiatric Center | Health Maintenance Organization | 777 Seaview Ave, Staten Island, NY 10305-3436 | 2007-01-03 |
| 1922165158 | South Beach Psychiatric Center | Clinic/Center | 777 Seaview Ave, Staten Island, NY 10305-3436 | 2007-01-03 |
| Street Address |
250 BALTIC ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841314648 | Judith A Blanshard | Community/Behavioral Health | 250 Baltic St, Baltic Clinic (sbpc), Brooklyn, NY 11201-6401 | 2007-03-19 |
| 1881056653 | Joel Layton | Peer Specialist | 250 Baltic St, Brooklyn, NY 11201-6401 | 2016-03-22 |
| 1336567569 | Luke Schneiders | Counselor | 250 Baltic St, 2nd Floor, Brooklyn, NY 11201-6401 | 2014-04-04 |
| 1093060030 | Eileen Ryan | Social Worker | 250 Baltic St, Brooklyn, NY 11201-6401 | 2012-07-16 |
| 1194034629 | Lauren D. Noll | Psychologist | 250 Baltic St, 2nd Floor, Brooklyn, NY 11201-6401 | 2010-10-01 |
| 1053620773 | Miriam C. Kaplan | Registered Nurse | 250 Baltic St, Brooklyn, NY 11201-6401 | 2010-09-29 |
| 1558670414 | Baltic Street Clinic | Community/Behavioral Health | 250 Baltic St, Brooklyn, NY 11201-6401 | 2010-09-27 |
| 1760791669 | Susan Sara Vogel | Psychologist | 250 Baltic St, Brooklyn, NY 11201-6401 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943595 | Maloney Counseling LLC | Community/Behavioral Health | 147 Prince St # 66b, Brooklyn, NY 11201-3022 | 2020-05-08 |
| 1417577545 | Anchor Counseling and Therapy Services | Community/Behavioral Health | 47 Bunny Ln, Brooklyn, CT 06234-3302 | 2020-04-18 |
| 1427681725 | Advancing Avenues Aba LLC | Community/Behavioral Health | 698 4th Ave, Brooklyn, NY 11232-1237 | 2020-02-15 |
| 1093354912 | Edwin Gonzalez | Community/Behavioral Health | 50 Manhattan Ave Apt 4b, Brooklyn, NY 11206-3149 | 2019-12-23 |
| 1760029300 | Cassandra Matukas | Community/Behavioral Health | 1326 Ocean Ave Apt 1h, Brooklyn, NY 11230-3249 | 2019-12-02 |
| 1902441504 | Radiant Self Therapy LLC | Community/Behavioral Health | 68 Hausman St Apt 3, Brooklyn, NY 11222-7111 | 2019-11-07 |
| 1629620224 | Healthy Family Social Daycare Inc | Community/Behavioral Health | 864 56th St # 1a, Brooklyn, NY 11220-3616 | 2019-07-12 |
| 1821553678 | Allomothering Inc | Community/Behavioral Health | 84 Marion St Apt 1, Brooklyn, NY 11233-2103 | 2019-02-06 |
| 1619495512 | Global Trauma Research Inc. | Community/Behavioral Health | 2329 Nostrand Ave Ste 100, Brooklyn, NY 11210-3949 | 2017-08-31 |
| 1760917603 | Flatbush Treatment Addiction Center | Community/Behavioral Health | 595 Coney Island Ave, 2a, Brooklyn, NY 11218-4374 | 2017-04-28 |
| 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.