Staten Island Mental Health Society

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

095104 Issued in NY

Legal business name

STATEN ISLAND MENTAL HEALTH SOCIETY

Practice address

657 Castleton Ave
Staten Island, NY 10301-2028

Phone

(718) 448-9775

Fax

(718) 448-6072

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Mary Walsh

Title

VP Human Resources

Phone

(718) 448-9775

Specialties & licenses 1

Addresses

Tax ID family

Staten Island Mental Health Society2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Staten Island Mental Health Society

  • Community/Behavioral Health Agency
  • Staten Island, NY
  • NPI 1811324577
  NPD tax ID

Locations

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1457729725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012028",
            "telephone_number": "718-448-9775",
            "fax_number": "718-448-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012028",
            "telephone_number": "718-448-9775",
            "fax_number": "718-448-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND MENTAL HEALTH SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP HUMAN RESOURCES",
        "authorized_official_telephone_number": "718-448-9775"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "095104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staten Island Medical Practice, P.C.
• Staten Island Medical Professional PC
• Staten Island Medical Rehabilitation, P.C.
• Staten Island Medicine PC
• Staten Island Mental Health Counseling PLLC
• Staten Island Mental Health Society
• Staten Island Mental Health Society
• Staten Island Mental Health Society, Inc.
• Staten Island Neonatology PC
• Staten Island Nephrology PC

• Community/Behavioral Health Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.