Organization Active NPI

Stony Lodge Hospital, Inc.

  • Psychiatric Hospital
  • Briarcliff Manor, NY
National Provider Identifier
1568540607
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
7360020 Issued in NY
Legal business name
STONY LODGE HOSPITAL, INC.
Practice address
40 Croton Dam Rd
Stony Lodge Hospital
Briarcliff Manor, NY 10510
Phone
(914) 941-7400
Fax
(914) 941-2437
NPI assigned
Nov 2, 2006
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Mr. Kevin F Czipo
Title
Executive Director
Phone
(914) 941-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7360320A NY
Psychiatric Hospital 283Q00000X 7360020 NY Primary

Addresses

Primary practice location

40 Croton Dam Rd
Stony Lodge Hospital
Briarcliff Manor, NY 10510

Mailing address

PO Box 1250
Briarcliff Manor, NY 10510-0327
Phone (914) 941-7400

Other identifiers 2

IdentifierTypeStateIssuer
003116078MedicaidCT
01583980MedicaidNY

National Provider Directory

National Provider Directory

Locations

33 W Main St
#307
Elmsford, NY 10523
Phone (914) 345-5676

Practitioners & affiliated clinicians

Practitioners 9

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1568540607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105100327",
            "telephone_number": "914-941-7400",
            "fax_number": "914-941-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CROTON DAM RD",
            "address_2": "STONY LODGE HOSPITAL",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "10510",
            "telephone_number": "914-941-7400",
            "fax_number": "914-941-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY LODGE HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CZIPO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-941-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "7360320A",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "7360020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116078",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01583980",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.