NPIMap

Organization Active NPI

Garnet Health Medical Center

  • Psychiatric Hospital
  • Middletown, NY
National Provider Identifier
1245299726
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
3523000H Issued in NY
Legal business name
GARNET HEALTH MEDICAL CENTER
Practice address
707 East Main Street
Middletown, NY 10940
Phone
(845) 333-1000
NPI assigned
Mar 22, 2006
Last updated
May 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
William Louis Scheuermann
Title
VP Revenue Strategy
Phone
(845) 333-7458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 3523000H NY Primary

Addresses

Primary practice location

707 East Main Street
Middletown, NY 10940

Mailing address

707 East Main Street
Middletown, NY 10940
Phone (845) 333-1000

Other names 1

  • orange regional medical center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130926000812 NY Part A Provider - Hospital 1456269828 Practice locations: Middletown, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245299726. Details of each certification follow.

Hospital certification: CCN 33S126

Legal name
GARNET HEALTH MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1966 in NY
Enrollment address
707 E Main St
Middletown, NY 10940-2650
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
David a Sackin MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

40 Matthews St
Goshen, NY 10924
Phone (585) 294-5441

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Juengling Individual W-2 Managing EmployeeController Mar 20, 2024
Jill Embler Individual W-2 Managing Employee Jan 1, 2020
Jonathan Schiller Individual Corporate OfficerPresident and Ceo May 15, 2023
Susan Murray-Tetz Individual Corporate DirectorChair/Secretary Jan 1, 2019
James P Grigg Individual Corporate OfficerCfo Jan 1, 2019
Heidi Hahn-Schroeder Individual Corporate DirectorVice Chair Jan 1, 2019

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1245299726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-333-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-333-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNET HEALTH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "SCHEUERMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "VP REVENUE STRATEGY",
        "authorized_official_telephone_number": "845-333-7458"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "3523000H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "orange regional medical center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.