Provider Demographics
NPI:1114937794
Name:COUNTY OF ROCKLAND
Entity Type:Organization
Organization Name:COUNTY OF ROCKLAND
Other - Org Name:ROCKLAND COUNTY DEPARTMENT OF MENTAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:COMMISSIONER OF MENTAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH-TOZER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-364-2378
Mailing Address - Street 1:50 SANITORIUM RD
Mailing Address - Street 2:BUILDING F-ROOM 240
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3555
Mailing Address - Country:US
Mailing Address - Phone:845-364-2334
Mailing Address - Fax:845-364-2296
Practice Address - Street 1:50 SANITORIUM RD
Practice Address - Street 2:BUILDING F-ROOM 240
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3555
Practice Address - Country:US
Practice Address - Phone:945-364-2334
Practice Address - Fax:845-364-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7194273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33-2014Medicare ID - Type UnspecifiedMHI INPT MC PROVIDER ID