NPIMap

Organization Active NPI

Nys Office of Mental Health

  • Psychiatric Hospital
  • Queens Village, NY
National Provider Identifier
1831253004
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
NYS OFFICE OF MENTAL HEALTH
Practice address
8045 Winchester Blvd
Queens Village, NY 11427-2193
Phone
(718) 464-7500
NPI assigned
Dec 21, 2006
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Shweta Gupta
Title
Director, Finance
Phone
(518) 473-3598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NY Primary

Addresses

Primary practice location

8045 Winchester Blvd
Queens Village, NY 11427-2193

Mailing address

44 Holland Ave
Albany, NY 12229-0001
Phone (518) 473-8234

Other identifiers 1

IdentifierTypeStateIssuer
00476646MedicaidNY

Other names 1

  • Creedmoor Psychiatric Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160108001621 NY Part A Provider - Hospital 3072782432 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Queens Village, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831253004. Details of each certification follow.

Hospital certification: CCN 334004

Legal name
NYS OFFICE OF MENTAL HEALTH
Doing business as
CREEDMOOR PSYCHIATRIC CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Nov 8, 2025
Beds
476
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
79-25 Winchester Boulevard
Queens Village, NY 11427-2199
Hospital subgroups
Psychiatric, Other

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Creedmoor Psychiatric CenterCCN 334004 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Pilgirm Psychiatric Center Socr 2147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nys Office of Mental Health Organization, Albany, NY Operational/Managerial Control Feb 24, 2023
Beth Giarrusso Individual Corporate DirectorDirector State Operations Financ Apr 23, 2015 5%
W-2 Managing EmployeeDirector State Operations Financ Apr 23, 2015 5%
Mark S Brooks Individual W-2 Managing EmployeeAsst Dir Costing Rate Rev MGMT Apr 1, 2015 5%

Owners & managing parties with NPI records 23

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 23

Practitioners & affiliated clinicians

Practitioners 10

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1831253004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122290001",
            "telephone_number": "518-473-8234",
            "fax_number": "518-473-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272193",
            "telephone_number": "718-464-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS OFFICE OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHWETA",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "518-473-3598"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00476646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creedmoor Psychiatric Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.