Revelation Pilgrim Mental Health

LBN: Revelation Pilgrim Mental Health Services
Revelation Pilgrim Mental Health is an health care organization with primary practice located at 14932 83Rd St Suite 100, Howard Beach NY 11414-1207. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Pastoral is the primary health care specialty. Revelation Pilgrim Mental Health Services can be contacted via phone (347) 623-2110, or through Rufen-Blanchette, Raymond H via phone (347) 623-2110.

Contact Information

Primary practice address
14932 83Rd St Suite 100 Howard Beach NY 11414-1207
Phone: (347) 623-2110
Fax: (877) 278-5969
Website:
Map and Directions
Authorized official contact:
Name: Rufen-Blanchette, Raymond H DD; PHD
Phone: (347) 623-2110

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Counseling 103TC1900X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Family 103TF0000X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Forensic 103TF0200X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / School 103TS0200X EXEMPT PRACTITIONER New York
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X EXEMPT PRACTITIONER New York

Profile Details

NPI number 1487981080
LBN Legal business name Revelation Pilgrim Mental Health Services
DBA Doing business as Revelation Pilgrim Mental Health
Authorized official Rufen-Blanchette, Raymond H DD; PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2009
Last updated Jun 29th, 2010 - 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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