Active NPI
New York State Office of Mental Health
- Psychiatric Hospital
- Staten Island, NY
National Provider Identifier
1417318007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- NEW YORK STATE OFFICE OF MENTAL HEALTH
- Practice address
- 777 Seaview Ave
SBPC Health Home Program
Staten Island, NY 10305-3409 - Phone
- (718) 668-8061
- Fax
- (718) 668-8070
- NPI assigned
- Mar 10, 2016
- 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. Hingwan Chu, MA
- Title
- Rehabilitation Counselor
- Phone
- (718) 974-2615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | NY | Primary |
Addresses
Primary practice location
777 Seaview Ave
SBPC Health Home Program
Staten Island, NY 10305-3409
Mailing address
777 Seaview Ave.
SBPC - Health Home Program
Staten Island, NY 10305
Phone (718) 974-2615
Other names 1
- South Beach Psychiatric Center
National Provider Directory
National Provider Directory- Tax ID family
- New York State Office of Mental Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Staten Island, NY
- NPI 1972964575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1417318007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 SEAVIEW AVE.",
"address_2": "SBPC - HEALTH HOME PROGRAM",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10305",
"telephone_number": "718-974-2615",
"fax_number": "718-668-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 SEAVIEW AVE",
"address_2": "SBPC HEALTH HOME PROGRAM",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053409",
"telephone_number": "718-668-8061",
"fax_number": "718-668-8070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK STATE OFFICE OF MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-10",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CHU",
"authorized_official_first_name": "HINGWAN",
"authorized_official_title_or_position": "REHABILITATION COUNSELOR",
"authorized_official_telephone_number": "718-974-2615",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South Beach Psychiatric Center",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.