ELMIRA PSYCHIATRIC CENTER (NPI# 1770927451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770927451 |
| Entity Type | Organization |
| Organization Name | ELMIRA PSYCHIATRIC CENTER |
| Practice Address |
100 Washington Street Elmira Psychiatric Center Elmira NY 14901 |
| Practice Telephone | 6077393581 |
| Mailing Telephone | 6077393581 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | MR. MARK STEPHANIE (DIRECTOR OR OPERATIONS) |
| Authorized Official Telephone | 6077074700 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | Y |
| Parent Organization Name | NYSOMH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477878775 | Elmira Psychiatric Center | Community/Behavioral Health | 12 N. Park St., Seneca-ontario Community Services - 2nd Floor, Seneca Falls, NY 13148 | 2010-03-30 |
| 1255703138 | Elmira Psychiatric Center | Psychiatric Unit | 100 Washington St, Elmira, NY 14901-2849 | 2015-10-30 |
| 1881949501 | Elmira Psychiatric Center | Psychiatric Hospital | 100 Washington St, Elmira, NY 14901-2849 | 2012-07-18 |
| 1649337866 | Elmira Psychiatric Center | Health Maintenance Organization | 100 Washington St, Elmira, NY 14901-2849 | 2007-01-03 |
| 1841357050 | Elmira Psychiatric Center | Pharmacy | 100 Washington St, Elmira, NY 14901-2849 | 2007-01-03 |
| 1730246943 | Elmira Psychiatric Center | Clinic/Center | 100 Washington St, Elmira, NY 14901-2849 | 2007-01-03 |
| Street Address |
100 WASHINGTON STREET ELMIRA PSYCHIATRIC CENTER |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366515728 | James Frank Kolynich | Physician Assistant | 100 Washington Street, Elmira Psychiatric Center, Elmira, NY 14901 | 2006-11-15 |
| 1881102119 | Lori Ann Johnson | Social Worker | 100 Washington Street, Asu, Elmira, NY 14901 | 2018-01-22 |
| 1659730554 | Cory David Whitehair | Community Health Worker | 100 Washington Street, Elmira, NY 14901 | 2016-02-19 |
| 1609247436 | Janet Dunbar | Social Worker | 100 Washington Street, Elmira, NY 14901-2898 | 2015-10-20 |
| 1568807204 | Christine A Boughton | Registered Nurse | 100 Washington Street, Elmira Psychiatric Center, Elmira, NY 14901-2898 | 2013-05-08 |
| 1639335714 | Alexander Azuka Juwah | Psychiatry & Neurology | 100 Washington Street, Elmira Psychiatric Center, Elmira, NY 14901 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| 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 |
|---|---|---|---|---|
| 1881949501 | Elmira Psychiatric Center | Psychiatric Hospital | 100 Washington St, Elmira, NY 14901-2849 | 2012-07-18 |
| 1740339829 | 1003 Walnut St Inc | Psychiatric Hospital | 1003 Walnut Street, Elmira, NY 14901 | 2007-01-09 |
| 1255498796 | Nys Office of Mental Health | Psychiatric Hospital | 100 Washington St, Elmira, NY 14901-2849 | 2007-01-03 |
| 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 | ||||
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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.