CREEDMOOR PSYCHIATRIC CENTER
NPI 1003970906
Health Maintenance Organization in Queens Village, NY

Active since December 22, 2006CLIA 33D2029184 · Waiver
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427(718) 464-7500 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creedmoor Psychiatric Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEDMOOR PSYCHIATRIC CENTER (NPI 1003970906) is a healthcare organization registered as a health maintenance organization in Queens Village, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Robert Puccio, Director, Finance, as its authorized official.

NPPES Registry Identity

NPI1003970906
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameCREEDMOOR PSYCHIATRIC CENTER
Location Address8045 WINCHESTER BLVDQueens Village, NY 11427-2193
Mailing Address44 Holland AveAlbany, NY 12229-0001
Organization SubpartNo
Authorized OfficialRobert PuccioDirector, Finance · (518) 473-0795
Enumeration DateDecember 22, 2006
Last NPPES UpdateAugust 1, 2008
NPI 1003970906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
8045 WINCHESTER BLVD, Queens Village, NY 11427

Other Identifiers 1

Medicaid01618928NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2029184

Creedmoor Psychiatric Center · Queens Village, NY
Active · expires Mar 26, 2027
CLIA Number33D2029184
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2011
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Uchechukwu C. Nnamdi
Laboratory Phone(718) 264-4045
Laboratory LocationCreedmoor Psychiatric Center79-25 Winchester Blvd, Queens Village, NY 11427
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health, Adult)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Psychiatry & Neurology (Psychiatry)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Registered Nurse (General Practice)
8045 WINCHESTER BLVD, BUILDING 73
QUEENS VILLAGE, NY 11427
Psychiatry & Neurology (Psychiatry)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Family Medicine (Addiction Medicine)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Psychiatry & Neurology (Psychiatry)
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Counselor
8045 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Registered Nurse (Psychiatric/Mental Health, Adult)
8045 WINCHESTER BLVD, BLDG 73
QUEENS VILLAGE, NY 11427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creedmoor Psychiatric Center's NPI number?

The NPI number for Creedmoor Psychiatric Center is 1003970906. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Creedmoor Psychiatric Center located?

Creedmoor Psychiatric Center is located at 8045 Winchester Blvd, Queens Village, NY 11427. The listed phone number is (718) 464-7500.

What is Creedmoor Psychiatric Center's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Does Creedmoor Psychiatric Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2029184) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Creedmoor Psychiatric Center was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.