Organization Active NPI

Kingsboro Psychiatric Center

  • Psychiatric Hospital
  • Brooklyn, NY
National Provider Identifier
1003126046
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
P25101 Issued in NY
Legal business name
KINGSBORO PSYCHIATRIC CENTER
Practice address
681 Clarkson Ave
Brooklyn, NY 11203-2125
Phone
(718) 221-7053
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Magalie St. Lot Jacques, M.D.
Title
Assistant Psychiatrist
Phone
(718) 221-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X P25101 NY Primary

Addresses

Primary practice location

681 Clarkson Ave
Brooklyn, NY 11203-2125

Mailing address

31 Bridgewater CT
Jackson, NJ 08527-4030
Phone (732) 886-3759

National Provider Directory

National Provider Directory

Locations

681 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 221-7499

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1003126046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BRIDGEWATER CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274030",
            "telephone_number": "732-886-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032125",
            "telephone_number": "718-221-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBORO PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "MAGALIE",
        "authorized_official_middle_name": "ST. LOT",
        "authorized_official_title_or_position": "ASSISTANT PSYCHIATRIST",
        "authorized_official_telephone_number": "718-221-7053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "P25101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.