Mental Health Providers Of Western Queens, Inc

LBN: Mental Health Providers Of Western Queens, Inc.
Mental Health Providers Of Western Queens, Inc is an health care organization with primary practice located at 74 09 37Th Ave Suite 315, Jackson Heights NY 11372-6303. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Mental Health Providers Of Western Queens, Inc. can be contacted via phone (718) 672-1705, or through Martinez-Cao, Rosa E via phone (718) 672-1705.

Contact Information

Primary practice address
74 09 37Th Ave Suite 315 Jackson Heights NY 11372-6303
Phone: (718) 672-1705
Fax: (718) 672-2027
Website:
Map and Directions
Authorized official contact:
Name: Martinez-Cao, Rosa E
Phone: (718) 672-1705

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1477699791
LBN Legal business name Mental Health Providers Of Western Queens, Inc.
DBA Doing business as Mental Health Providers Of Western Queens, Inc
Authorized official Martinez-Cao, Rosa E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 11th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477699791 NPPES
New York MEDICAID 00848453

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