Active NPI
Steven Edward Szydziak
- Adult Psychiatric/Mental Health Registered Nurse
- Brentwood, NY
National Provider Identifier
1659863595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 589401
- Practice address
- Pilgrim State Psychiatric Center
998Crooked Hil Rd
Brentwood, NY 11717 - Phone
- (631) 761-2286
- NPI assigned
- Jun 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 589401 | NY | Primary |
Addresses
Primary practice location
Pilgrim State Psychiatric Center
998Crooked Hil Rd
Brentwood, NY 11717
Mailing address
Pilgrim State Psychiatric Center
998 Crooked Hill Road
Brentwood, NY 11717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589401 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1659863595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PILGRIM STATE PSYCHIATRIC CENTER",
"address_2": "998 CROOKED HILL ROAD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "11717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PILGRIM STATE PSYCHIATRIC CENTER",
"address_2": "998CROOKED HIL RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-761-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYDZIAK",
"first_name": "STEVEN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "589401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.