Active NPI
Kingsboro Psychiatric Center
- Nursing Care Agency
- Brooklyn, NY
National Provider Identifier
1689156259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 507498-1
- Legal business name
- KINGSBORO PSYCHIATRIC CENTER
- Practice address
- 10 Manhattan Ave
Brooklyn, NY 11206-3950 - Phone
- (718) 338-3075
- NPI assigned
- Aug 30, 2018
- Last updated
- Aug 30, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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, and the practitioner matching its NPPES authorized official.
-
- Community Health Registered Nurse
- Brooklyn, NY
- NPI 1720896855
-
- Community Health Registered Nurse
- Brooklyn, NY
- NPI 1982915260
-
- Registered Nurse
- Brooklyn, NY
- NPI 1821462797
-
- Peer Specialist
- Brooklyn, NY
- NPI 1114387834
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1629151857
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1477941490
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1205152410
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1063872471
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1881113751
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1487015400
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.