Staten Island Mental Health Society

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0896391 Issued in NY

Legal business name

STATEN ISLAND MENTAL HEALTH SOCIETY

Practice address

444 Saint Marks PL
Staten Island, NY 10301-2434

Phone

(718) 720-6727

NPI assigned

Sep 26, 2013

Last updated

Sep 26, 2013By 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

Mrs. Fern ZagorNPI 1407071905

Title

Ceo

Phone

(718) 442-2225

Specialties & licenses 1

Addresses

Tax ID family

Staten Island Mental Health Society2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Staten Island Mental Health Society

  • Community/Behavioral Health Agency
  • Staten Island, NY
  • NPI 1457729725
  NPD tax ID

Locations

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.

• Fern Aaron Zagor, L.C.S.W.

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1407071905
  Authorized official Same address or phone

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1811324577",
    "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": "444 SAINT MARKS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012434",
            "telephone_number": "718-720-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND MENTAL HEALTH SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "ZAGOR",
        "authorized_official_first_name": "FERN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-442-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "0896391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Staten Island Oral & Maxillofacial Surgery

• 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 Sep 26, 2013; 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.