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NPI Code Detail

MEDICARE: ST. MARK'S PLACE INSTITUTE FOR MENTAL HEALTH, INC

MEDICARE: ST. MARK'S PLACE INSTITUTE FOR MENTAL HEALTH, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)7574100ANY

General Provider Information

NPI Number : 1396783049
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. MARK'S PLACE INSTITUTE FOR MENTAL HEALTH, INC
Provider Business Mailing Address
First Line : 57 SAINT MARKS PL
Second Line :
City : NEW YORK
State : NY
Zip : 10003-7902
Country : US
Telephone Number : 212-982-3470
Fax Number : 212-477-0521
Provider Business Practice Location Address
First Line : 57 SAINT MARKS PL
Second Line :
City : NEW YORK
State : NY
Zip : 10003-7902
Country : US
Telephone Number : 212-982-3470
Fax Number : 212-477-0521
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MATTHEW PABIS
Credential : MD
Telephone Number : 212-982-3470
Provider Enumeration Date : 06/03/2006
Last Update Date : 04/13/2026

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