Creedmoor Psychiatric Center

LBN: Nys Office Of Mental Health
Creedmoor Psychiatric Center is an health care organization with primary practice located at 7925 Winchester Blvd , Queens Village NY 11427-2128. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Suppliers / Specialty Pharmacy. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Nys Office Of Mental Health can be contacted via phone (718) 464-7500, or through Giarrusso, Beth via phone (518) 473-3598.

Contact Information

Primary practice address
7925 Winchester Blvd Queens Village NY 11427-2128
Phone: (718) 464-7500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Giarrusso, Beth
Phone: (518) 473-3598

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X New York
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X New York
Suppliers / Specialty Pharmacy 3336S0011X New York

Profile Details

NPI number 1194889097
LBN Legal business name Nys Office Of Mental Health
DBA Doing business as Creedmoor Psychiatric Center
Authorized official Giarrusso, Beth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Apr 12th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194889097 NPPES
New York MEDICAID 02711475
New York MEDICAID 00769411

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