NPIMap

Organization Active NPI

Brooklyn Psychiatric Centers, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
National Provider Identifier
1083825194
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BROOKLYN PSYCHIATRIC CENTERS, INC
Practice address
189 Montague St
Suite 300
Brooklyn, NY 11201-3610
Phone
(718) 596-9979
Fax
(718) 543-3455
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Pamela Straker, PH.D
Title
President
Phone
(718) 875-5625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

189 Montague St
Suite 300
Brooklyn, NY 11201-3610

Mailing address

189 Montague St
Suite 418
Brooklyn, NY 11201-3610
Phone (718) 875-5625

Other identifiers 1

IdentifierTypeStateIssuer
00244284MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Psychiatric Centers Inc2 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

189 Montague St
Ste 300
Brooklyn, NY 11201
Phone (718) 596-9979

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1083825194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MONTAGUE ST",
            "address_2": "SUITE 418",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013610",
            "telephone_number": "718-875-5625",
            "fax_number": "718-875-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MONTAGUE ST",
            "address_2": "SUITE 300",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013610",
            "telephone_number": "718-596-9979",
            "fax_number": "718-543-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PSYCHIATRIC CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "STRAKER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-875-5625",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244284",
            "state": "NY"
        }
    ],
    "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 Nov 16, 2007; 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.