NPIMap

Organization Active NPI

Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1275697187
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NYS OFFICE OF MENTAL HEALTH
Practice address
681 Clarkson Ave
Brooklyn, NY 11203-2125
Phone
(718) 221-7700
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NY Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NY

Addresses

Primary practice location

681 Clarkson Ave
Brooklyn, NY 11203-2125

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00769475MedicaidNY

Other names 1

  • Kingsboro 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…
O20141208001021 NY Part A Provider - Hospital 3072782432 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

Hospital certification: CCN 334063

Legal name
NYS OFFICE OF MENTAL HEALTH
Doing business as
KINGSBORO PSYCHIATRIC CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 3, 2014
Last certification
Mar 15, 2024
Beds
173
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
681 Clarkson Ave
Brooklyn, NY 11203-2199
Hospital Psychiatric Unit
Hospital subgroups
Other

Other NPIs on the same Medicare enrollment 21

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

View all 21

Care Compare: Hospital

Medicare Care Compare
Listed as
Kingsboro Psychiatric HospitalCCN 334063
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 7, 2022
Beth Giarrusso Individual Corporate DirectorDirector-Nys Officeof Mental Health Apr 23, 2015 5%
W-2 Managing EmployeeDirector-Nys Officeof Mental Health Apr 23, 2015 5%
Mark S Brooks Individual W-2 Managing Employee Apr 23, 2015 5%

Owners & managing parties with NPI records 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1275697187",
    "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": "681 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032125",
            "telephone_number": "718-221-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS OFFICE OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "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": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsboro Psychiatric Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.