Pilgrim Psychiatric Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

035699 Issued in NY

Legal business name

PILGRIM PSYCHIATRIC CENTER

Practice address

998 Crooked Hill Rd
Brentwood, NY 11717-1019

Phone

(631) 761-3515

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By 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

Mr. Dennis Stallone, R.PHNPI 1992955652

Title

Pharmacy Manager

Phone

(631) 761-2295

Specialties & licenses 1

Addresses

Tax ID family

Pilgrim Psychiatric Center2 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.

• Pilgrim Psychiatric Center

  • Psychiatric Hospital Unit
  • West Brentwood, NY
  • NPI 1992237366
  NPD tax ID

Locations

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.

• Dennis J Stallone, PHARMACIST

  • Pharmacist
  • Brentwood, NY
  • NPI 1992955652
  Authorized official Same address or phone

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1154864338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIM PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "STALLONE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "631-761-2295",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "035699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgette Emilie Pierre
• Jean M Pierre
• Marie Dominique Pierre
• Ryan Pierre
• Susan Paula Pikser, LCSW
• Marlene Iris Pinck
• Shanna V. Pineda-Geronimo, MSW
• Penelope Pinkerton
• Sharon Pizzo
• Carl Plaisimond, LPN

• Psychiatric Hospital in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Psychiatric Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.