NPIMap

Organization Active NPI

Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1336206549
Registry record updated Mar 6, 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
1500 Waters PL
Bronx, NY 10461-2723
Phone
(718) 931-0600
NPI assigned
Jan 3, 2007
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NY Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NY
Specialty Pharmacy 3336S0011X NY

Addresses

Primary practice location

1500 Waters PL
Bronx, NY 10461-2723

Mailing address

44 Holland Ave
Albany, NY 12229-0001
Phone (518) 473-3598

Other identifiers 2

IdentifierTypeStateIssuer
00769360MedicaidNY
02712045MedicaidNY

Other names 1

  • Bronx 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…
O20150127001259 NY Part A Provider - Hospital 3072782432 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bronx, NY; Bronx,, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336206549. Details of each certification follow.

Hospital certification: CCN 334053

Legal name
NYS OFFICE OF MENTAL HEALTH
Doing business as
BRONX PSYCHIATRIC CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Dec 11, 1990
Last certification
Jan 13, 2023
Beds
412
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
1500 Waters PL
Bronx Psychiatric Center
Bronx,, NY 10461-2723
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
Bronx Psychiatric CenterCCN 334053 · 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
Tax ID family
Nys Off MNTL HLTH-CPTL Di147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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 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 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 2

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.

  • Joy Evoh
    • Psychiatric/Mental Health Nurse Practitioner
    • Bronx, NY
    • NPI 1518135813
    NPD
  • Jerry Liao
    • Psychiatric/Mental Health Nurse Practitioner
    • Bronx, NY
    • NPI 1659879211
    NPD

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": "1772755200000",
    "number": "1336206549",
    "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": "518-473-3598",
            "fax_number": "518-473-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612723",
            "telephone_number": "718-931-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS OFFICE OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "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
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769360",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02712045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronx Psychiatric Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.