LONG ISLAND CITY PSYCHOTHERAPY SERVICES LCSW, PC (NPI# 1669730826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669730826 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND CITY PSYCHOTHERAPY SERVICES LCSW, PC |
| Practice Address |
301 27th Ave Long Island City NY 11102-4616 |
| Practice Telephone | 7187210606 |
| Practice Fax Number | 7182045481 |
| Mailing Telephone | 7187210606 |
| Mailing Fax Number | 7182045481 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | MRS. MURIEL DETHOMAS (PRESIDENT) |
| Authorized Official Telephone | 7187210606 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
R006721 | NY | Ambulatory Health Care Facilities |
| Street Address |
301 27TH AVE |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11102-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456649 | New York Counseling for Change, LLC | Clinic/Center | 3046 Northern Blvd, Long Island City, NY 11101-2816 | 2020-01-23 |
| 1295376432 | Eunsung Kim | Clinic/Center | 4332 22nd St Ste 203, Long Island City, NY 11101-5077 | 2019-09-30 |
| 1093362816 | Mind In Motion Psychological Services, Pllc | Clinic/Center | 4332 22nd St Ste 203, Long Island City, NY 11101-5077 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306674 | Therapeutic Sanctuary Counseling & Play Therapy Center | Clinic/Center | 3960 Harlem Rd Ste 13, Amherst, NY 14226-4746 | 2020-11-08 |
| 1093316564 | Access Mental Health Counseling, Pllc | Clinic/Center | 10 James Ave, East Norwich, NY 11732-1219 | 2020-11-02 |
| 1700487378 | Listening Ear Counseling and Therapy | Clinic/Center | 36 Watergate Dr, Amawalk, NY 10501-1107 | 2020-11-02 |
| 1154929123 | Culture of Wellness, LLC | Clinic/Center | 31 W 34th St # 7058, New York, NY 10001-3009 | 2020-10-13 |
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1801493366 | Child and Family Psychological Services | Clinic/Center | 521 Route 111 Ste 202, Hauppauge, NY 11788-4358 | 2020-10-07 |
| 1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
| 1235749409 | Wong Thies Psychology, Pllc | Clinic/Center | 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 | 2020-08-03 |
| 1316557606 | Calm Mind Psychiatric Np Services of The Finger Lakes Pllc | Clinic/Center | 840 Hanshaw Rd Ste 9, Ithaca, NY 14850-1589 | 2020-08-03 |
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11102 |
Please comment or provide details below to improve the information on LONG ISLAND CITY PSYCHOTHERAPY SERVICES LCSW, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.