NPIMap

Organization Active NPI

St. Lawrence Psychiatric Center

  • Psychiatric Hospital
  • Massena, NY
National Provider Identifier
1700258159
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
525043 Issued in NY
Legal business name
ST. LAWRENCE PSYCHIATRIC CENTER
Practice address
23 Maple St
Massena, NY 13662-1017
Phone
(315) 769-8441
Fax
(315) 769-3902
NPI assigned
Oct 26, 2015
Last updated
Oct 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Mrs. Nicole Annette Zeledon, R.N.NPI 1972481554
Title
CMHN - Mit
Phone
(315) 769-8441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 525043 NY Primary

Addresses

Primary practice location

23 Maple St
Massena, NY 13662-1017

Mailing address

23 Maple St
Massena, NY 13662-1017
Phone (315) 769-8441

National Provider Directory

National Provider Directory
Tax ID family
Wilton Devel Ctr Rev M269 organizations share this tax ID, including this one

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

Locations

23 Maple St
Massena, NY 13662
Phone (315) 769-8441

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1700258159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAPLE ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621017",
            "telephone_number": "315-769-8441",
            "fax_number": "315-769-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAPLE ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621017",
            "telephone_number": "315-769-8441",
            "fax_number": "315-769-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LAWRENCE PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ZELEDON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CMHN - MIT",
        "authorized_official_telephone_number": "315-769-8441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "525043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.