NPIMap

Organization Active NPI

Mohawk Valley Psychiatric Center

  • Clinic/Center
  • Utica, NY
National Provider Identifier
1346307568
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOHAWK VALLEY PSYCHIATRIC CENTER
Practice address
1400 Noyes St
Utica, NY 13502-3854
Phone
(315) 797-6800
NPI assigned
Jan 3, 2007
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NYS OFFICE OF MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Beth Giarrusso
Title
Director, Finance
Phone
(518) 473-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NY Primary

Addresses

Primary practice location

1400 Noyes St
Utica, NY 13502-3854

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Other identifiers 1

IdentifierTypeStateIssuer
02369648MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Buffalo PC147 organizations share this tax ID, including this one
Part of
Buffalo PC

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

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": "1462320000000",
    "number": "1346307568",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NOYES ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023854",
            "telephone_number": "315-797-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY PSYCHIATRIC CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYS OFFICE OF MENTAL HEALTH",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "GIARRUSSO",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "518-473-0795"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02369648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.