=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912992215
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/13/2005
-----------------------------------------------------
Last Update Date | 07/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL
-----------------------------------------------------
City | MOUNT KISCO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10549-3417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-666-1200
-----------------------------------------------------
Fax | 914-666-1055
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL - ADMINISTRATION
-----------------------------------------------------
City | MOUNT KISCO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10549-3417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-666-1310
-----------------------------------------------------
Fax | 914-666-1055
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE VICE PRESIDENT & CFO
-----------------------------------------------------
Name | MRS. MICHELE LEE CUSACK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-321-6058
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 273R00000X
-----------------------------------------------------
Taxonomy Name | Psychiatric Hospital Unit
-----------------------------------------------------
License Number | 6415020
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 5920000H
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------