Organization Active NPI

Pilgrim Psychiatric Center

  • Case Management Agency
  • West Brentwood, NY
National Provider Identifier
1043679376
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PILGRIM PSYCHIATRIC CENTER
Practice address
998 Crooked Hill Rd
Building 69
West Brentwood, NY 11717-1019
Phone
(631) 761-4203
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Frank Giallanza
Title
Intensive Case Manager
Phone
(631) 761-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

998 Crooked Hill Rd
Building 69
West Brentwood, NY 11717-1019

Mailing address

998 Crooked Hill Rd
West Brentwood, NY 11717-1019

National Provider Directory

National Provider Directory
Tax ID family
Intensive Case Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

998 Crooked Hill Rd
Bldg 69
West Brentwood, NY 11717
Phone (631) 761-4186

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1043679376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "BUILDING 69",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIM PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GIALLANZA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "INTENSIVE CASE MANAGER",
        "authorized_official_telephone_number": "631-761-4203"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.