NPIMap

Organization Active NPI

Kingsboro Psychiatric Center

  • Nursing Care Agency
  • Brooklyn, NY
National Provider Identifier
1689156259
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
507498-1 Issued in NY
Legal business name
KINGSBORO PSYCHIATRIC CENTER
Practice address
10 Manhattan Ave
Brooklyn, NY 11206-3950
Phone
(718) 338-3075
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Ms. Jacqueline Andall, RN
Title
Adon
Phone
(718) 221-7145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 507498-1 NY Primary

Addresses

Primary practice location

10 Manhattan Ave
Brooklyn, NY 11206-3950

Mailing address

10 Manhattan Ave
Brooklyn, NY 11206-3950
Phone (718) 388-3075

National Provider Directory

National Provider Directory

Locations

10 Manhattan Ave
Brooklyn, NY 11206
Phone (718) 338-3075

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1689156259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063950",
            "telephone_number": "718-388-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063950",
            "telephone_number": "718-338-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBORO PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "ANDALL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADON",
        "authorized_official_telephone_number": "718-221-7145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "507498-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 30, 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.

Verify at the official NPI Registry.