Provider Demographics
NPI:1578654000
Name:ROCKLAND PSYCHIATRIC CENTER
Entity Type:Organization
Organization Name:ROCKLAND PSYCHIATRIC CENTER
Other - Org Name:NYS OFFICE OF MENTAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:LAMIA
Authorized Official - Middle Name:KARMAL
Authorized Official - Last Name:BOTROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-358-1677
Mailing Address - Street 1:140 OLD ORANGEBURG ROAD
Mailing Address - Street 2:ROCKLAND PSYCHIATRIC CENTER
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962
Mailing Address - Country:US
Mailing Address - Phone:845-359-1000
Mailing Address - Fax:845-680-5516
Practice Address - Street 1:18 CHURCH STREET
Practice Address - Street 2:NYACK CONSULTATION CENTER
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960
Practice Address - Country:US
Practice Address - Phone:845-358-1677
Practice Address - Fax:845-358-3640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NYS OFFICE OF MENTAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-28
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214224283Q00000X
NYNY214224283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital