Rockland Hospital Guild, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

6399431 Issued in NY

Legal business name

ROCKLAND HOSPITAL GUILD, INC.

Practice address

140 Old Orangeburg Rd
BLDG. 1 - Room 204
Orangeburg, NY 10962-1157

Phone

(845) 680-5422

Fax

(845) 680-5562

NPI assigned

Jun 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marcy Corvalan

Title

Accountant

Phone

(845) 680-5422

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811193915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "address_2": "BLDG. 1 - ROOM 204",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-680-5422",
            "fax_number": "845-680-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "address_2": "BLDG. 1 - ROOM 204",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-680-5422",
            "fax_number": "845-680-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND HOSPITAL GUILD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORVALAN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "845-680-5422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "6399431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Richards, RN
• Carol Elaine Riley-Charles
• Preethi Rimmy
• Robert M Conenello (Orangetown Podiatry)
• India Westcott Robinson, MS, RN, FNP
• Rockland Occupational Therapy Services PLLC
• Rockland PC
• Rockland Psychiatric Center
• Rockland Psychiatric Center
• Rockland Psychiatric Center

• Mental Illness Community Based Residential Treatment Facility in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.