Upmc Chautauqua At Wca, NPI 1063498889
Psychiatric Hospital Unit in Jamestown, NY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063498889
NPI Entity Type Organization
Provider Name Upmc Chautauqua At Wca
Former Legal Business Name
Subpart of Organization Upmc Chautauqua At Wca
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 207 Foote Ave., Inpatient Mental Health Unit, Jamestown, NY, US
Provider Mailing Address 600 Grant Street, Us Steel Tower, 59th Floor, C/o Renee Johnson, Pittsburgh, PA, US, 152192740
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Brad Dinger
Official Position CFO
Phone 814-877-3739

Primary Taxonomy

Taxonomy Code

273R00000X

Taxonomy Name Psychiatric Hospital Unit
Classification

Psychiatric Unit

Group

Hospital Units

License No. 0602001H
License State NY
Description In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Other Organization Name

Woman's Christian Association Hospital
Former Legal Business Name

Business Address

Upmc Chautauqua At Wca
207 Foote Ave.
Inpatient Mental Health Unit

Jamestown, NY, US

Phone: 716-664-8640
Fax: 716-664-8607

Mailing Address

Upmc Chautauqua At Wca
600 Grant Street, Us Steel Tower, 59th Floor
C/o Renee Johnson
Pittsburgh, PA, US
ZIP 152192740
Phone: 412-623-6303
Fax: 412-623-6369

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1007520620019 PA MEDICAID 05
00354623 NY MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT uconnect.upmc.com 2.16.840.1.113883.3.552.100.2.1 OTHER Yes 600 Grant St, Pittsburgh, PA, US
DIRECT [email protected] secure direct address for this UPMC Hospital HIE No 207 Foote Ave., Inpatient Mental Health Unit, Jamestown, NY, US

Other Providers in NY, US

NPI Name Taxonomy Address

1760136907

MRS. OTR/L Kateri Virgilio

Individual

Occupational Therapist

245 E 84th St

New York, NY

1255524310

Bernedette P Minnella Md Pllc

Organization

Internal Medicine Physician

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Rochester, NY

1801085667

Diego G Cahn-hidalgo Md Pllc

Organization

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Rochester, NY

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Catherine Tan Md Pllc

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Internal Medicine Physician

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Rochester, NY

1881629145

MD George Baker Plain

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1265097356

Brooke O'connor

Individual

Physician Assistant

1000 Montauk Hwy

West Islip, NY

1508886219

MD Catherine Chiu Tan

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1366550162

MD Bernedette P Minnella

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1093749285

DR. MD Diego Gerardo Cahn-hidalgo

Individual

Internal Medicine Physician

300 White Spruce Blvd

Suite 100

Rochester, NY

1144660408

DR. O.D.,M.S. Benjamin Menlah Arthur

Individual

Optometrist

629 Eastern Pkwy

Unit #m4 (202)

Brooklyn, NY

1871222836

MISS PA-C Lauren Rose Kelly

Individual

Physician Assistant

234 E 149th St

Bronx, NY

1043540255

MRS. LPN Pepper L Richardson

Individual

Licensed Practical Nurse

661 Oconnor Rd

Oswego, NY

1093910648

MR. LCSW David Sheinman-smith

Individual

Clinical Social Worker

39 W 14th St Ste 506

New York, NY

1245722578

Angela C. Turner Dougherty

Individual

Psychologist

358 Veterans Memorial Hwy Ste 12

Commack, NY

1376294322

MS. LCSW-R Chelsea C Chin

Individual

Clinical Social Worker

578 Henry St Apt 3

Brooklyn, NY

1952039703

It's A Girl Thing Counseling Amy Frisch Lcsw, Pllc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

5 College Ave

New Paltz, NY

1801934948

Amy Frisch

Individual

Clinical Social Worker

5 College Ave

New Paltz, NY

1700509841

PNP-PC Danielle Kocienda

Individual

Pediatric Nurse Practitioner

223 E 34th St

New York, NY

1851991483

Latchmi D. Harparsad

Individual

Speech-Language Pathologist

15050 14th Rd

Whitestone, NY

1336773225

Crysta Song

Individual

Speech-Language Pathologist

212 Garretson Ave

Staten Island, NY

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