NPIMap

Organization Active NPI

St Vincents Trauma and Wellness Center

  • Psychiatric Hospital
  • New York, NY
National Provider Identifier
1821259672
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
072031 Issued in NY
Legal business name
ST VINCENTS TRAUMA AND WELLNESS CENTER
Practice address
170 Broadway
Suite 1208
New York, NY 10038-4154
Phone
(212) 346-2582
NPI assigned
Jun 24, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Anna M De la Rosa, LCSWNPI 1497911382
Title
Social Worker
Phone
(212) 346-2582

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 072031 NY Primary

Addresses

Primary practice location

170 Broadway
Suite 1208
New York, NY 10038-4154

Mailing address

170 Broadway
St Vincents Trauma and Wellness Center Suite 1208
New York, NY 10038
Phone (212) 346-2582

National Provider Directory

National Provider Directory
Tax ID family
Saint Vincents Catholic Med CTRS17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

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": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1821259672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BROADWAY",
            "address_2": "ST VINCENTS TRAUMA AND WELLNESS CENTER SUITE 1208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "212-346-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BROADWAY",
            "address_2": "SUITE 1208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384154",
            "telephone_number": "212-346-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENTS TRAUMA AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "212-346-2582",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "072031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.