NPIMap

Organization Active NPI

Baltic Street Clinic

Doing business as South Beach Psychiatric Center

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1558670414
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
069468 Issued in NY
Legal business name
BALTIC STREET CLINIC
Doing business as
South Beach Psychiatric Center
Practice address
250 Baltic St
Brooklyn, NY 11201-6401
Phone
(718) 855-3131
Fax
(718) 855-4011
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Miss Sheena Leigh Rojas, LCSW
Title
Social Worker
Phone
(718) 855-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 069468 NY Primary

Addresses

Primary practice location

250 Baltic St
Brooklyn, NY 11201-6401

Mailing address

250 Baltic St
Brooklyn, NY 11201-6401
Phone (718) 855-3131

Other names 1

  • South Beach Psychiatric Center Doing business as

National Provider Directory

National Provider Directory

Locations

250 Baltic St
Brooklyn, NY 11201
Phone (718) 855-3131

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1558670414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BALTIC ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016401",
            "telephone_number": "718-855-3131",
            "fax_number": "718-855-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BALTIC ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016401",
            "telephone_number": "718-855-3131",
            "fax_number": "718-855-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIC STREET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "718-855-3131",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "069468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Beach Psychiatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.