OrganizationActive
Creedmoor Psychiatric Center
NPI 1386785400 · Chronic Disease Hospital · Queens Village, NY
Provider details
- NPI number
- 1386785400
- Entity type
- Organization
- Primary specialty
- Chronic Disease HospitalHospitals
- Organization subpart
- No
- Authorized official
- William Fisher, Clinical Director(718) 264-3603
- License
- 159042 (NY)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Creedmoor Psychiatric Center
80-45 Winchester Blvd
Queens Village, NY 11427
Phone: (718) 264-3983
Approximate (ZIP-level) locationGet directions
Mailing address
1806 Old Mill Rd
Merrick, NY 11566-1508
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.