Active NPI
Kelly Hamilton
- Peer Specialist
- Staten Island, NY
National Provider Identifier
1821752999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- New York State Office of Mental Health
South Beach Psychiatric Center
Staten Island, NY 10305 - Phone
- (718) 668-8050
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
New York State Office of Mental Health
South Beach Psychiatric Center
Staten Island, NY 10305
Mailing address
New York State Office of Mental Health
South Beach Psychiatric Center
Staten Island, NY 10305
Phone (718) 668-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1821752999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEW YORK STATE OFFICE OF MENTAL HEALTH",
"address_2": "SOUTH BEACH PSYCHIATRIC CENTER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10305",
"telephone_number": "718-668-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW YORK STATE OFFICE OF MENTAL HEALTH",
"address_2": "SOUTH BEACH PSYCHIATRIC CENTER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10305",
"telephone_number": "718-668-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.