Our Lady of Mercy Medical Center Outpatient Psychiatric Programs

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

F401056 Issued in NY

Legal business name

OUR LADY OF MERCY MEDICAL CENTER OUTPATIENT PSYCHIATRIC PROGRAMS

Doing business as

University Hospital of New York Medical Center

Practice address

4401 Bronx Blvd
Bronx, NY 10470-1407

Phone

(646) 361-7158

NPI assigned

Dec 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Crisanta Azores Rockwell, RN, NPP

Title

Nurse Practitioner in Psychiatry

Phone

(646) 361-7158

Specialties & licenses 1

Addresses

Other names 1

• University Hospital of New York Medical Center Doing business as

Locations

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197158400000",
    "number": "1821271214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701407",
            "telephone_number": "646-361-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701407",
            "telephone_number": "646-361-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF MERCY MEDICAL CENTER OUTPATIENT PSYCHIATRIC PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-09",
        "last_updated": "2007-12-09",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "CRISANTA",
        "authorized_official_middle_name": "AZORES",
        "authorized_official_title_or_position": "NURSE PRACTITIONER IN PSYCHIATRY",
        "authorized_official_telephone_number": "646-361-7158",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, NPP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "F401056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hospital of New York Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Our Lady of Mercy Medical Center (Our Lady of Mercy Med Ctr Phcy)
• Our Lady of Mercy Medical Center
• Our Lady of Mercy Medical Center
• Our Lady of Mercy Medical Center
• Our Lady of Mercy Medical Center
• Our Lady of Mercy MHC
• Aicha Ourti
• Annamma Ouseph
• Gail Ousley
• Camille Outar, RN

• Adult Mental Health Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2007; 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.