NPIMap

Organization Active NPI

Creedmor Psychiatric Center

  • Psychiatric Hospital
  • Queens Village, NY
National Provider Identifier
1497022800
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
CREEDMOR PSYCHIATRIC CENTER
Practice address
7925 Winchester Boulevard
Creedmoor Psychiatric Center Medical Education
Queens Village, NY 11427
Phone
(718) 264-5030
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Swapna Donepudi
Title
Pgy-1
Phone
(985) 713-6141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

7925 Winchester Boulevard
Creedmoor Psychiatric Center Medical Education
Queens Village, NY 11427

Mailing address

3110 23Rd St
5E
Astoria, NY 11106-4585

National Provider Directory

National Provider Directory
Tax ID family
Didi Hirsch Mental Health Services140 organizations share this tax ID, including this one

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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1497022800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 23RD ST",
            "address_2": "5E",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 WINCHESTER BOULEVARD",
            "address_2": "CREEDMOOR PSYCHIATRIC CENTER MEDICAL EDUCATION",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11427",
            "telephone_number": "718-264-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOR PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "DONEPUDI",
        "authorized_official_first_name": "SWAPNA",
        "authorized_official_title_or_position": "PGY-1",
        "authorized_official_telephone_number": "985-713-6141"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.