| Nys Office Of Mental Health | |
|
998 Crooked Hill Rd West Brentwood NY 11717-1043 | |
| (631) 761-3500 | |
| Not Available |
| Full Name | Nys Office Of Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 998 Crooked Hill Rd, West Brentwood, New York |
| Authorized Official Name and Position | Beth Giarrusso (DIRECTOR FINANCE) |
| Authorized Official Contact | 5184733598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nys Office Of Mental Health 44 Holland Ave Albany NY 12229-0001 Ph: (518) 473-3598 | Nys Office Of Mental Health 998 Crooked Hill Rd West Brentwood NY 11717-1043 Ph: (631) 761-3500 |
| NPI Number | 1578627485 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 3072782432 |
|---|---|
| Medicare Enrollment ID | O20110802000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578627485 | NPI | - | NPPES |
| 00769228 | Medicaid | NY | |
| 02711457 | Medicaid | NY |
| Provider Name | Robert A Gold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215967633 PECOS PAC ID: 5597660894 Enrollment ID: I20031201000299 |
| Provider Name | Barbara Digiuseppe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447291729 PECOS PAC ID: 0749172005 Enrollment ID: I20040330000180 |
| Provider Name | Gladys Rm Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518087832 PECOS PAC ID: 6002808250 Enrollment ID: I20040330001610 |
| Provider Name | Yasmeen Kirmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760419667 PECOS PAC ID: 5597741405 Enrollment ID: I20040629001238 |
| Provider Name | Laura Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134975279 PECOS PAC ID: 4587635768 Enrollment ID: I20040802001501 |
| Provider Name | Sorina V Dogaru Lungu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710987565 PECOS PAC ID: 2062474687 Enrollment ID: I20041027000285 |
| Provider Name | Jose Pugliese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861434532 PECOS PAC ID: 7214993617 Enrollment ID: I20041207001153 |
| Provider Name | Sheela M Kurup |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013917863 PECOS PAC ID: 0042248767 Enrollment ID: I20050802001374 |
| Provider Name | Anthony D Patricelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407055882 PECOS PAC ID: 7113956517 Enrollment ID: I20050805000614 |
| Provider Name | Veena S Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770651572 PECOS PAC ID: 4284730417 Enrollment ID: I20070505000014 |
| Provider Name | Alicekutty N John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346321874 PECOS PAC ID: 3173600178 Enrollment ID: I20080401000484 |
| Provider Name | Azhar I Khokhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790821395 PECOS PAC ID: 8729148150 Enrollment ID: I20081114000719 |
| Provider Name | Jennifer R Senft Maltese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437172178 PECOS PAC ID: 3971667213 Enrollment ID: I20090130000381 |
| Provider Name | Eva Macdowall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003094723 PECOS PAC ID: 3173688744 Enrollment ID: I20090213000353 |
| Provider Name | Leonard M Saragnese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346342250 PECOS PAC ID: 0840346730 Enrollment ID: I20090917000480 |
| Provider Name | Lisa D Reisner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194825695 PECOS PAC ID: 8224224795 Enrollment ID: I20101123000374 |
| Provider Name | Herminia W Hermogenes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891721916 PECOS PAC ID: 4284817263 Enrollment ID: I20110329000622 |
| Provider Name | Nicole Louis Beaubrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780815480 PECOS PAC ID: 7618023979 Enrollment ID: I20110407000321 |
| Provider Name | Norine Gledhill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982884573 PECOS PAC ID: 9234314063 Enrollment ID: I20110421000174 |
| Provider Name | Dinesh K Sood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821056334 PECOS PAC ID: 6507042884 Enrollment ID: I20110523000164 |
| Provider Name | Vijay K Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619045465 PECOS PAC ID: 5496931594 Enrollment ID: I20110525000029 |
| Provider Name | Tiffany M Salzillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073783023 PECOS PAC ID: 3971781709 Enrollment ID: I20110627000676 |
| Provider Name | Maria Teresita Santos-dunphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992841142 PECOS PAC ID: 7719156132 Enrollment ID: I20110801000649 |
| Provider Name | Diana Mejias-bergmeier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407133341 PECOS PAC ID: 2466626098 Enrollment ID: I20111117000190 |
| Provider Name | Deborah M Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982929071 PECOS PAC ID: 7012162159 Enrollment ID: I20130221000324 |
| Provider Name | Lisa A Casler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942293626 PECOS PAC ID: 3577718048 Enrollment ID: I20130307000134 |
| Provider Name | Kelly J Kleinert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669762290 PECOS PAC ID: 4486896388 Enrollment ID: I20130806000084 |
| Provider Name | Alease T Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063443414 PECOS PAC ID: 7012142227 Enrollment ID: I20131024000311 |
| Provider Name | Claire Holderness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841428232 PECOS PAC ID: 2567698111 Enrollment ID: I20131204000533 |
| Provider Name | Andrew Kirsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992925101 PECOS PAC ID: 9931337219 Enrollment ID: I20140113000973 |
| Provider Name | Dianna Dragatsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891814711 PECOS PAC ID: 4981832706 Enrollment ID: I20140124000020 |
| Provider Name | Cassis Lea Henry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386772143 PECOS PAC ID: 4183853948 Enrollment ID: I20140128000697 |
| Provider Name | Dirk Winter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295995892 PECOS PAC ID: 7618105487 Enrollment ID: I20140204000648 |
| Provider Name | Laura Clarke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366889636 PECOS PAC ID: 6204059900 Enrollment ID: I20140528000425 |
| Provider Name | Richard Dhar May |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427173327 PECOS PAC ID: 1759504202 Enrollment ID: I20140602000804 |
| Provider Name | Amanda K Gangoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588968432 PECOS PAC ID: 3971727306 Enrollment ID: I20140605000009 |
| Provider Name | Bolanle O Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013160613 PECOS PAC ID: 2163641093 Enrollment ID: I20140908002373 |
| Provider Name | Marya Esther Pollack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992855696 PECOS PAC ID: 5193944643 Enrollment ID: I20140915001856 |
| Provider Name | Dil A Siddika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639330418 PECOS PAC ID: 9133341035 Enrollment ID: I20141110000487 |
| Provider Name | Patricia K Spector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407265127 PECOS PAC ID: 3072838291 Enrollment ID: I20150211000696 |
| Provider Name | Frank R Pastore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164584967 PECOS PAC ID: 0345566014 Enrollment ID: I20150225000440 |
| Provider Name | Nery Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588810592 PECOS PAC ID: 8921317348 Enrollment ID: I20151026000063 |
| Provider Name | Myra Recon-bucevic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154400406 PECOS PAC ID: 5496058414 Enrollment ID: I20160126001620 |
| Provider Name | Rachel E Zinns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427369008 PECOS PAC ID: 5597069609 Enrollment ID: I20160210002235 |
| Provider Name | Olivia Joly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780820373 PECOS PAC ID: 5698072007 Enrollment ID: I20160330001906 |
| Provider Name | Adrial A Lobelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467761189 PECOS PAC ID: 4284931536 Enrollment ID: I20160331000633 |
| Provider Name | Pamela Kissoondhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881053981 PECOS PAC ID: 2062710114 Enrollment ID: I20160406001243 |
| Provider Name | Ann Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578685335 PECOS PAC ID: 8022259860 Enrollment ID: I20160620001461 |
| Provider Name | Siji Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730540642 PECOS PAC ID: 2163702218 Enrollment ID: I20161206001807 |
| Provider Name | Lindsay H Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851788830 PECOS PAC ID: 8921364142 Enrollment ID: I20171103001632 |
| Provider Name | Patrick J Mccauley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619483989 PECOS PAC ID: 4981965332 Enrollment ID: I20180227000464 |
| Provider Name | Alexandre Do Nascimento |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447767249 PECOS PAC ID: 6709134315 Enrollment ID: I20180730001531 |
| Provider Name | Maida Cuevas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841355625 PECOS PAC ID: 3476801523 Enrollment ID: I20180806001766 |
| Provider Name | Carrie Schoen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033505862 PECOS PAC ID: 1557610730 Enrollment ID: I20180821002965 |
| Provider Name | Michael Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902157688 PECOS PAC ID: 5395151526 Enrollment ID: I20210312000185 |
| Provider Name | Erika Carol Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518559665 PECOS PAC ID: 2062816911 Enrollment ID: I20210813002758 |
| Provider Name | Xylina Ulloa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891440533 PECOS PAC ID: 3072908722 Enrollment ID: I20220316003247 |
| Provider Name | Jerry Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659879211 PECOS PAC ID: 4183001852 Enrollment ID: I20220518001756 |
| Provider Name | Kevin Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760986715 PECOS PAC ID: 9032465653 Enrollment ID: I20230517001745 |
| Provider Name | Jennifer Grasso |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558115097 PECOS PAC ID: 3779925342 Enrollment ID: I20240613001619 |
| Provider Name | Gail Ramsundar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578854204 PECOS PAC ID: 6800333881 Enrollment ID: I20240808001141 |
| Provider Name | Thomas Paul Nicaise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508161647 PECOS PAC ID: 6204374036 Enrollment ID: I20240812002795 |
| Provider Name | Anne Marie Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679063051 PECOS PAC ID: 2365707213 Enrollment ID: I20240920000220 |
| Provider Name | Telia Stanfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316599384 PECOS PAC ID: 7517327018 Enrollment ID: I20240925002390 |
| Provider Name | Karen Ann Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336452762 PECOS PAC ID: 1456882794 Enrollment ID: I20240927000559 |
| Provider Name | Kori Bullock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053158113 PECOS PAC ID: 7618408261 Enrollment ID: I20241007001800 |
| Provider Name | Jennifer M Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164053112 PECOS PAC ID: 3678013422 Enrollment ID: I20241028000447 |
| Provider Name | Mary K Griffin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003377292 PECOS PAC ID: 8325573629 Enrollment ID: I20241122004007 |
| Provider Name | Lisa M Wert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194286385 PECOS PAC ID: 6406381706 Enrollment ID: I20241122004091 |
| Provider Name | Angelica Grace Falcinelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932746948 PECOS PAC ID: 0143750398 Enrollment ID: I20250204001262 |
| Provider Name | Eric D Cross |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033584941 PECOS PAC ID: 2668916834 Enrollment ID: I20250206000866 |
| Provider Name | Heidi Ann Dashnaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154667186 PECOS PAC ID: 7517305535 Enrollment ID: I20250206002217 |
| Provider Name | Yvonne Gee Mei |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083461388 PECOS PAC ID: 9133656283 Enrollment ID: I20250311002957 |
Risewell Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Building #55, West Brentwood, NY 11717 Phone: 631-236-4299 Fax: 631-235-4126 | |
Ck Post Addiction Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Road, Building 1 Pilgrim Psychiatric Center, West Brentwood, NY 11717 Phone: 631-434-7209 Fax: 631-434-7254 | |
Pilgrim Psychiatric Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, West Brentwood, NY 11717 Phone: 631-761-2295 Fax: 631-761-3256 |