Staten Island Mental Health Society

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

087650 Issued in NY

Legal business name

STATEN ISLAND MENTAL HEALTH SOCIETY

Practice address

669 Castleton Ave
Staten Island, NY 10301-2028

Phone

(718) 442-2225

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Mary Walsh

Title

Human Resource Director

Phone

(718) 442-2226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1770835381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012028",
            "telephone_number": "718-442-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012028",
            "telephone_number": "718-442-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND MENTAL HEALTH SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "HUMAN RESOURCE DIRECTOR",
        "authorized_official_telephone_number": "718-442-2226",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "087650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staten Island Medical Professional PC
• Staten Island Medical Rehabilitation, P.C.
• Staten Island Medicine PC
• Staten Island Mental Health Counseling PLLC
• Staten Island Mental Health Society
• Staten Island Mental Health Society
• Staten Island Mental Health Society, Inc.
• Staten Island Neonatology PC
• Staten Island Nephrology PC
• Staten Island Ophthalmology, PC

• Community/Behavioral Health Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.