Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Behavioral Health Services, PC

Organization Psychiatry Physician · NPI 1639916349

Great Lakes Behavioral Health Services, PC provides Psychiatry Physician services in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 Hudson St Fl 9
New York, NY 10013-1810
Phone: (646) 453-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1639916349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cary Crall — Owner · (646) 453-6777
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address205 Hudson St Fl 9, New York, NY 10013-1810

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