NPIMap

Organization Active NPI

St Lawrence Psychiatric Center

  • Psychiatric Hospital
  • Philadelphia, NY
National Provider Identifier
1730480179
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
064470 Issued in NY
Legal business name
ST LAWRENCE PSYCHIATRIC CENTER
Practice address
32735 County Route 29 Ste a
Philadelphia, NY 13673-4210
Phone
(315) 642-3142
Fax
(315) 642-3249
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Ms. Carol Brew, CAGS
Title
Chief of Service
Phone
(315) 541-2590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 064470 NY Primary

Addresses

Primary practice location

32735 County Route 29 Ste a
Philadelphia, NY 13673-4210

Mailing address

32735 County Route 29 Ste a
Philadelphia, NY 13673-4210
Phone (315) 642-3142

National Provider Directory

National Provider Directory
Tax ID family
RPC-Middletown Mental Health Clinic269 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

32735 County Route 29
Ste A
Philadelphia, NY 13673
Phone (315) 642-0125

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1730480179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32735 COUNTY ROUTE 29 STE A",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "136734210",
            "telephone_number": "315-642-3142",
            "fax_number": "315-642-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32735 COUNTY ROUTE 29 STE A",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "136734210",
            "telephone_number": "315-642-3142",
            "fax_number": "315-642-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LAWRENCE PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "BREW",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CHIEF OF SERVICE",
        "authorized_official_telephone_number": "315-541-2590",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAGS"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "064470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.