Provider Demographics
NPI:1922154145
Name:WESTCHESTER COUNTY DEPT OF COMMUNITY MENTAL HEALTH
Entity Type:Organization
Organization Name:WESTCHESTER COUNTY DEPT OF COMMUNITY MENTAL HEALTH
Other - Org Name:WESTCHESTER COUNTY DCMH
Other - Org Type:Other Name
Authorized Official - Title/Position:COMMISSIONER DCMH
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:E
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-995-5235
Mailing Address - Street 1:112 EAST POST RD
Mailing Address - Street 2:2ND FL SUITE 219
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5113
Mailing Address - Country:US
Mailing Address - Phone:914-995-5233
Mailing Address - Fax:914-995-5254
Practice Address - Street 1:53 SOUTH BROADWAY
Practice Address - Street 2:YONKERS CSC 5TH FLOOR
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4038
Practice Address - Country:US
Practice Address - Phone:914-995-5233
Practice Address - Fax:914-995-5254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6829103A261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02271667OtherSCM
NY00550129Medicaid
NY21521422OtherSET
NY02005796Medicaid
NY12087OtherBEACON STRATEGIES
W02701Medicare ID - Type Unspecified
NY02271667OtherSCM
W02741Medicare ID - Type Unspecified
W02611Medicare ID - Type Unspecified