NPIMap

Organization Active NPI

Nys Office of Mental Health

  • Psychiatric Hospital
  • Elmira, NY
National Provider Identifier
1255498796
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
NYS OFFICE OF MENTAL HEALTH
Practice address
100 Washington St
Elmira, NY 14901-2849
Phone
(607) 737-4739
NPI assigned
Jan 3, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Shweta Gupta
Title
Director, Finance
Phone
(518) 473-3598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NY Primary

Addresses

Primary practice location

100 Washington St
Elmira, NY 14901-2849

Mailing address

44 Holland Ave
Albany, NY 12229-0001
Phone (518) 473-8234

Other identifiers 1

IdentifierTypeStateIssuer
00476884MedicaidNY

Other names 1

  • Elmira Psychiatric Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110802000194 NY Part B Supplier - Clinic/Group Practice 3072782432 Receives reassigned benefits from 54 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Staten Island, NY; West Brentwood, NY; Utica, NY; Syracuse, NY; Rochester, NY; Queens Village, NY; Poughkeepsie, NY; Orangeburg, NY…
O20141218000259 NY Part A Provider - Hospital 3072782432 1 other NPI on this enrollment
Practice locations: Elmira, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255498796. Details of each certification follow.

Hospital certification: CCN 334045

Legal name
NYS OFFICE OF MENTAL HEALTH
Doing business as
ELMIRA PSYCHIATRIC CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Apr 1, 1976
Last certification
Jul 23, 2025
Beds
59
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
100 Washington St
Elmira Psychiatric Center
Elmira, NY 14901-2898
Other Hospital Practice Location
Hospital subgroups
Other

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

Care Compare: Hospital

Medicare Care Compare
Listed as
Elmira Psych CenterCCN 334045 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Nys Office of Mental Health Organization, Albany, NY Operational/Managerial Control Mar 3, 2022
Beth Giarrusso Individual Corporate DirectorFinance Director Apr 23, 2015 5%
W-2 Managing EmployeeFinance Director Apr 23, 2015 5%
Mark S Brooks Individual W-2 Managing EmployeeAsst Dir Costing Rev MGMT Apr 1, 2015 5%

Owners & managing parties with NPI records 22

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 22

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rockland Psychiatric CenterOrangeburg, NY, CCN 334015 Hospital Operational/Managerial Control Nov 26, 2019
South Beach Psychiatric CenterStaten Island, NY, CCN 334043 Hospital Operational/Managerial Control Nov 26, 2019
Mohawk Valley Psychiatric CenterUtica, NY, CCN 334021 Hospital Operational/Managerial Control Jan 2, 2020
Mid Hidson Psychiatric CenterNew Hampton, NY, CCN 334061 Hospital Operational/Managerial Control Feb 10, 2020
Kingsboro Psychiatric CenterBrooklyn, NY, CCN 334063 Hospital Operational/Managerial Control Mar 7, 2022
Manhattan Psychiatric CenterNew York, NY, CCN 334054 Hospital Operational/Managerial Control Sep 30, 2010
Bronx Psychiatric CenterBronx,, NY, CCN 334053 Hospital Operational/Managerial Control Mar 7, 2022
Kirby Forensic Psychiatric CenterNew York, NY, CCN 334060 Hospital Operational/Managerial Control Mar 7, 2022
Rochester Psychiatric CenterRochester, NY, CCN 334020 Hospital Operational/Managerial Control Mar 2, 2022
Hutchings Psychiatric CenterSyracuse, NY, CCN 334001 Hospital Operational/Managerial Control Feb 16, 2022
Capital District Psychiatric CenterAlbany, NY, CCN 334046 Hospital Operational/Managerial Control Mar 4, 2022
St. Lawrence Psychiatric CenterOgdensburg, NY, CCN 334003 Hospital Operational/Managerial Control Mar 1, 2022
New York State Psychiatric InstituteNew York, NY, CCN 334009 Hospital Operational/Managerial Control Mar 2, 2022
Pilgrim Psychiatric CenterWest Brentwood, NY, CCN 334013 Hospital Operational/Managerial Control Sep 6, 2022
Buffalo Psychiatric CenterBuffalo, NY, CCN 334052 Hospital Operational/Managerial Control Nov 29, 2010
Creedmoor Psychiatric CenterQueens Village, NY, CCN 334004 Hospital Operational/Managerial Control Feb 24, 2023
Binghamton Psychiatric CenterBinghamton, NY, CCN 334012 Hospital Operational/Managerial Control Feb 24, 2023
New York City Childrens Psych CenterBellerose, NY, CCN 334067 Hospital Operational/Managerial Control (5%) Oct 27, 2016

Owned or controlled facilities with NPI records 37

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 37

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 6

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1255498796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122290001",
            "telephone_number": "518-473-8234",
            "fax_number": "518-473-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012849",
            "telephone_number": "607-737-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS OFFICE OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHWETA",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "518-473-3598"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00476884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmira Psychiatric Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.