NPIMap

Organization Active NPI

Four Winds, Inc.

  • Psychiatric Hospital
  • Katonah, NY
National Provider Identifier
1982600680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
334020 Issued in NY
Legal business name
FOUR WINDS, INC.
Practice address
800 Cross River Rd
Katonah, NY 10536-3549
Phone
(914) 763-8151
NPI assigned
Jun 27, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry Weinstein, CPA
Title
Cfo
Phone
(914) 241-1239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 334020 NY Primary

Addresses

Primary practice location

800 Cross River Rd
Katonah, NY 10536-3549

Mailing address

800 Cross River Rd
Katonah, NY 10536-3549
Phone (914) 763-8151

Other identifiers 1

IdentifierTypeStateIssuer
00274075MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110210000752 NY Part A Provider - Hospital 1850587189 Practice locations: Katonah, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982600680. Details of each certification follow.

Hospital certification: CCN 334002

Legal name
FOUR WINDS, INC.
Doing business as
FOUR WINDS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Jan 17, 2025
Beds
175
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Apr 1, 1978 in NY
Enrollment address
800 Cross River Rd
Katonah, NY 10536-3549
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Four WindsCCN 334002 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Four Winds Inc2 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.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Monica Broderick Individual Corporate OfficerChief Executive Officer May 3, 2023
Samuel C Klagsbrun Estate Organization, New York, NY 5% Or Greater Direct Ownership Interest Nov 10, 2023 48%
Claudia E Rocha-Roda Individual W-2 Managing EmployeePayroll Manager Feb 26, 2020
Sarah D Klagsburn Individual 5% Or Greater Direct Ownership Interest Sep 17, 2012 52%
Eric Weinstein Individual Corporate OfficerChief Operating Officer May 3, 2023
Irene C Castro Individual Corporate OfficerCfo, Board Member Jan 1, 2019

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982600680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CROSS RIVER RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363549",
            "telephone_number": "914-763-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CROSS RIVER RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363549",
            "telephone_number": "914-763-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "914-241-1239",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "334020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

Verify at the official NPI Registry.