Provider Demographics
NPI:1053335620
Name:UPPER MANHATTAN MENTAL HEALTH CENTER, INC.
Entity type:Organization
Organization Name:UPPER MANHATTAN MENTAL HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WITHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-694-9200
Mailing Address - Street 1:1727 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4611
Mailing Address - Country:US
Mailing Address - Phone:212-694-9200
Mailing Address - Fax:212-368-5608
Practice Address - Street 1:1727 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4611
Practice Address - Country:US
Practice Address - Phone:212-694-9200
Practice Address - Fax:212-368-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY32481OtherCOMMUNITY PREMIER PLUS
NY00997580Medicaid
NY138894000OtherMAGELLAN, HMO
NY502650OtherVALUE OPTIONS, HMO
NY58P0551OtherNEW PRESBYTERIAN HMO
NY1060370OtherAFFINITY, HMO
NY01570314Medicaid
NY000423458115OtherHEALTH PLUS, HMO
NY58P0551OtherNEW PRESBYTERIAN HMO
NY138894000OtherMAGELLAN, HMO
NY32481OtherCOMMUNITY PREMIER PLUS
NY502650OtherVALUE OPTIONS, HMO
NY=========UP01OtherCARE PLUS, HMO
NYW2Y361Medicare ID - Type UnspecifiedMEDICARE PATIENTS