Saint Johns Home for Boys

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

SAINT JOHNS HOME FOR BOYS

Practice address

150 Beach 110TH Street
Rockaway Park, NY 11694

Phone

(718) 945-2800

Fax

(718) 945-4662

NPI assigned

Dec 12, 2006

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darving C Irizarry, LMSW

Title

Director of Special Services & Oper

Phone

(718) 945-2800

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1396806881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BEACH 110TH STREET",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-945-2800",
            "fax_number": "718-945-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BEACH 110TH STREET",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-945-2800",
            "fax_number": "718-945-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHNS HOME FOR BOYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "DARVING",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES & OPER",
        "authorized_official_telephone_number": "718-945-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00327748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Anthony Ruggiero, M.S. RRT
• Christine Russo
• Amy L Ryan
• Mary E Sabedra, RN
• Susan M Sachs, DACM, L.AC
• Sanjay Kirtane Physician PC
• Brenda Jean Schilling, MA
• John Joseph Schilling, DPM
• Jennifer E Sekulski
• Emily Bess Seligman, LMSW

• Child & Adolescent Psychiatry Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.