PILGRIM PSYCHIATRIC CENTER (NPI# 1992237366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992237366 |
| Entity Type | Organization |
| Organization Name | PILGRIM PSYCHIATRIC CENTER |
| Practice Address |
998 Crooked Hill Rd West Brentwood NY 11717-1019 |
| Practice Telephone | 6317612295 |
| Practice Fax Number | 6317613256 |
| Mailing Telephone | 6317612295 |
| Mailing Fax Number | 6317613256 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | MRS. LOUISE KNOTT ZUCKER (PHARMACIST) |
| Authorized Official Telephone | 6317612137 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 035699 | NY | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154864338 | Pilgrim Psychiatric Center | Psychiatric Hospital | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-11-21 |
| 1043679376 | Pilgrim Psychiatric Center | Case Management | 998 Crooked Hill Rd, Building 69, West Brentwood, NY 11717-1019 | 2016-02-15 |
| 1497199707 | Pilgrim Psychiatric Center | Psychiatric Hospital | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2013-04-18 |
| 1588907455 | Pilgrim Psychiatric Center | Psychiatric Unit | 175 Fulton Ave, Hempstead, NY 11550-3150 | 2013-03-29 |
| 1871898817 | Pilgrim Psychiatric Center | Psychiatric Hospital | 550 E Main St, Suite 103, Riverhead, NY 11901-2672 | 2011-01-24 |
| 1306900212 | Pilgrim Psychiatric Center | Health Maintenance Organization | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
| 1396809208 | Pilgrim Psychiatric Center | Clinic/Center | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
| 1124182035 | Pilgrim Psychiatric Center | Assisted Living Facility | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
| 1295899102 | Pilgrim Psychiatric Center | Pharmacy | 998 Crooked Hill Rd, West Brentwood, NY 11717-1043 | 2006-12-22 |
| Street Address |
998 CROOKED HILL RD |
| City | WEST BRENTWOOD |
| State | NY |
| Zip Code | 11717-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721916 | Herminia Hermogenes | Psychiatry & Neurology | 998 Crooked Hill Rd, Bldg. 56, West Brentwood, NY 11717-1043 | 2006-06-23 |
| 1740887124 | Christian Ciaburri | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-10-08 |
| 1437771011 | Noelle Vidaic | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-18 |
| 1679194112 | Maryna Krumholz | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-05-06 |
| 1427679695 | Christine Simcich | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-29 |
| 1538789086 | Carolyn Herold | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1992325450 | Henry Vonpoleski | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-04-24 |
| 1851925903 | Marvett A Malcolm | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2020-02-27 |
| 1992346621 | Diane Lopez-mahabir | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-10-03 |
| 1770133423 | Ivan Leonidas Giannou | Registered Nurse | 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 | 2019-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
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| 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 |
|---|---|---|---|---|
| 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 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
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| City | WEST BRENTWOOD |
| Zip Code | 11717 |
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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.