Active NPI
Omh
- Psychiatric Hospital
- West Brentwood, NY
National Provider Identifier
1407211758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- OMH
- Practice address
- 998 Crooked Hill Road
Pilgrim Psychiatric Center
West Brentwood, NY 11717 - Phone
- (631) 761-2581
- Fax
- (631) 761-2244
- NPI assigned
- Dec 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Subin Thomas
- Title
- SW 1
- Phone
- (631) 761-2581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
998 Crooked Hill Road
Pilgrim Psychiatric Center
West Brentwood, NY 11717
Mailing address
998 Crooked Hill Road
West Brentwood, NY 11717
Phone (631) 761-2581
National Provider Directory
National Provider Directory- Tax ID family
- Nys Omh
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- West Brentwood, NY
- NPI 1467817221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451433600000",
"number": "1407211758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 CROOKED HILL ROAD",
"city": "WEST BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-761-2581",
"fax_number": "631-761-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL ROAD",
"address_2": "PILGRIM PSYCHIATRIC CENTER",
"city": "WEST BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-761-2581",
"fax_number": "631-761-2244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMH",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "SUBIN",
"authorized_official_title_or_position": "SW 1",
"authorized_official_telephone_number": "631-761-2581",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.