Brooks - TLC Hospital System, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

BROOKS - TLC HOSPITAL SYSTEM, INC.

Practice address

845 Route 5 and 20
Irving, NY 14081-9706

Phone

(716) 951-7000

NPI assigned

Aug 31, 2006

Last updated

Aug 28, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKS-TLC HOSPITAL SYSTEMAs reported in NPPES

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

Authorized official

Name

Mary Elizabeth Larowe

Title

Ceo

Phone

(716) 363-7207

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Brooks Memorial Hospita

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1598876732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482514",
            "telephone_number": "716-366-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 ROUTE 5 AND 20",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819706",
            "telephone_number": "716-951-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS - TLC HOSPITAL SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKS-TLC  HOSPITAL SYSTEM",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "LAROWE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-363-7207"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Lacson Bangsil, M.D.
• Banjo Catfish Emergency Physician Services PLLC
• Benjamin Ronald Baumler, PT
• Kierra Bleyle, DDS
• Dana Marie Brimmer, DPM
• Amy Bryan, D.D.S.
• Mary Elizabeth Buck, LMSW
• Alexander Campagna, DDS
• Michael M Candaras, MD
• Amy Ellen Choboy, RPH

• Psychiatric Hospital Unit in Irving, NY
• Providers in Irving, NY by specialty
• Psychiatric Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.