NPIMap

Organization Active NPI

Creedmoor Psychiatric Center

  • Institutional Pharmacy
  • Queens Village, NY
National Provider Identifier
1649334541
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
CREEDMOOR PSYCHIATRIC CENTER
Practice address
8045 Winchester Blvd
Queens Village, NY 11427-2193
Phone
(718) 464-7500
NPI assigned
Dec 22, 2006
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
NYS OFFICE OF MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Beth Gail Giarrusso
Title
Finance Director
Phone
(518) 473-3598

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X NY Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

8045 Winchester Blvd
Queens Village, NY 11427-2193

Mailing address

44 Holland Ave
Attn: Sofg/Medicare D
Albany, NY 12229-0000

National Provider Directory

National Provider Directory
Tax ID family
Nys Off MNTL HLTH-CPTL Di147 organizations share this tax ID, including this one
Part of
Nys Off MNTL HLTH-CPTL Di

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1649334541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVE",
            "address_2": "ATTN: SOFG/MEDICARE D",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122290000",
            "fax_number": "518-486-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272193",
            "telephone_number": "718-464-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOOR PSYCHIATRIC CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYS OFFICE OF MENTAL HEALTH",
        "enumeration_date": "2006-12-22",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "GIARRUSSO",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "518-473-3598"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 27, 2019; 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.