SOUTH BEACH PSYCHIATRIC CENTER (NPI# 1891155560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891155560 |
| Entity Type | Organization |
| Organization Name | SOUTH BEACH PSYCHIATRIC CENTER |
| Practice Address |
1083 Mcdonald Ave Brooklyn NY 11230-2651 |
| Practice Telephone | 7184217444 |
| Practice Fax Number | 7184217229 |
| Mailing Telephone | 7184217444 |
| Mailing Fax Number | 7184217229 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | ELLEN MARIE LECLAIR (COMMUNITY HEALTH WORKER) |
| Authorized Official Telephone | 7184217444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194061275 | South Beach Psychiatric Center | Psychiatric Hospital | 8620 18th Ave, Brooklyn, NY 11214-3702 | 2012-12-18 |
| 1700195450 | South Beach Psychiatric Center | Community/Behavioral Health | 250 Baltic St, Brooklyn, NY 11201-6401 | 2010-09-29 |
| 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 |
1083 MCDONALD AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770892606 | Earl Swanson | Social Worker | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2010-09-27 |
| 1548701097 | Vartika Mutha | Psychologist | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2017-03-16 |
| 1043553779 | Funto Mary Oluwafemi | Psychologist | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2013-04-01 |
| 1861749467 | Sonia Nancy Falack | Social Worker | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2012-08-14 |
| 1497017222 | Michelle C Carrieri | Social Worker | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2012-06-07 |
| 1114227782 | Aleksandr Raynov | Social Worker | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2010-10-28 |
| 1275842759 | Joseph Cavarretta | Registered Nurse | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2010-09-30 |
| 1922317643 | Gina M Dugay | Registered Nurse | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2010-09-29 |
| 1083923858 | Nora Bonosky | Social Worker | 1083 Mcdonald Ave, Brooklyn, NY 11230-2651 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770130163 | Ching Ha Jenny Wu | Local Education Agency (LEA) | 6811 15th Ave, Brooklyn, NY 11219-6310 | 2019-08-21 |
| 1124672993 | Josh Pesin | Local Education Agency (LEA) | 239 Bay 34th St Apt 1e, Brooklyn, NY 11214-5896 | 2019-07-30 |
| 1740762335 | Nyc Doe | Local Education Agency (LEA) | 441 Lake St, Brooklyn, NY 11223-4639 | 2018-08-30 |
| 1932612819 | Brooklyn Schools | Local Education Agency (LEA) | 119 Gorman Rd, Brooklyn, CT 06234-1834 | 2017-11-14 |
| 1063925998 | Free Mvmnt | Local Education Agency (LEA) | 452 Madison St Apt 1b, Brooklyn, NY 11221-1142 | 2017-11-14 |
| 1881119949 | Onos Footprints, Inc. | Local Education Agency (LEA) | 67 West St Ste 225, Brooklyn, NY 11222-5387 | 2017-08-10 |
| 1720515430 | Omni | Local Education Agency (LEA) | 1928 E 26th St, Bsmt, Brooklyn, NY 11229-2440 | 2017-05-12 |
| 1952774168 | Leah Schapiro | Local Education Agency (LEA) | 1466 Union St, Brooklyn, NY 11213-4446 | 2015-11-10 |
| 1639552045 | Davis Social Adult Services | Local Education Agency (LEA) | 1349 Broadway Fl 3, Brooklyn, NY 11221-3618 | 2015-07-02 |
| 1588042824 | Dyker Senior Center Inc. | Local Education Agency (LEA) | 6713 11th Ave, Brooklyn, NY 11219-5904 | 2015-05-06 |
| 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.