New York State Office of Mental Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NEW YORK STATE OFFICE OF MENTAL HEALTH

Practice address

777 Seaview Ave
SBPC;Health Home Program
Staten Island, NY 10305-3409

Phone

(718) 668-8061

Fax

(718) 668-8070

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael Green, M.S.

Title

Program Coordinator

Phone

(718) 668-8061

Specialties & licenses 1

Addresses

Other names 1

• South Beach Psychiatric Center Doing business as

Tax ID family

New York State Office of Mental Health2 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.

• New York State Office of Mental Health

  • Psychiatric Hospital
  • Staten Island, NY
  • NPI 1417318007
  NPD tax ID

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1972964575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE.",
            "address_2": "SBPC;HEALTH HOME PROGRAM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-668-8061",
            "fax_number": "718-668-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "address_2": "SBPC;HEALTH HOME PROGRAM",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-668-8061",
            "fax_number": "718-668-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK STATE OFFICE OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "718-668-8061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Beach Psychiatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New York Pain Care Consultant PLLC
• New York Psychological Practice
• New York Spinal Correction Chiropractic PC
• New York State Hospital (Omh)
• New York State Office of Mental Health
• New York Surgical Assoc PC
• New York Surgical Associates Office Based Surgery, PC
• New York Vamc
• New York'S Comprehensive Home Care Services LLC
• New You Communication Center LTD

• Case Management Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.