Brookdale Hospital

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

2592091 Issued in NY

Legal business name

BROOKDALE HOSPITAL

Practice address

2258 84TH St
Brooklyn, NY 11214-3328

Phone

(347) 277-9084

NPI assigned

Nov 9, 2010

Last updated

Nov 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tatyana Semenova, MDNPI 1437431269

Title

Phisician

Phone

(347) 277-9084

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tatyana Semenova, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437431269
  NPD (past) Authorized official

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1104127984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143328",
            "telephone_number": "347-277-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143328",
            "telephone_number": "347-277-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "SEMENOVA",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PHISICIAN",
        "authorized_official_telephone_number": "347-277-9084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "2592091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale Family Care Center, Inc. (BFCC Flatbush)
• Brookdale Family Care Center, Inc. (Brookdale Family Care Center)
• Brookdale Family Care Center, Inc. (BFCC Linden)
• Brookdale Family Care Center, Inc.
• Brookdale Family Care Center, Inc. (BFCC Flatbush)
• Brookdale Hospital
• Brookdale Hospital
• Brookdale Hospital
• Brookdale Hospital Medical Center
• Brookdale Hospital Medical Center

• Adolescent and Children Mental Health Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.