MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. (NPI# 1417314154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417314154 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. |
| Practice Address |
6207 Woodside Ave 4th Floor Woodside NY 11377-3576 |
| Practice Telephone | 7188985085 |
| Practice Fax Number | 7188988852 |
| Mailing Telephone | 7188985085 |
| Mailing Fax Number | 7188988852 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | MRS. CHERYL LAZO MONTANEZ (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7188985085 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
096826 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477699791 | Mental Health Providers of Western Queens, Inc. | Case Management | 74 09 37th Ave, Suite 315, Jackson Heights, NY 11372-6303 | 2007-01-30 |
| Street Address |
6207 WOODSIDE AVE 4TH FLOOR |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-3576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053532903 | Abigail Morales | Physical Therapist | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2007-05-01 |
| 1124499868 | Melissa Revelo | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3576 | 2015-10-07 |
| 1801231303 | Michelle Ranelli | Social Worker | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2013-05-09 |
| 1770926347 | Edward M Mcmorris I | Case Manager/Care Coordinator | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2013-04-12 |
| 1447591722 | Steven Bryant Hollis | Counselor | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2013-03-11 |
| 1366791030 | Cheryl Maribel Lazo-montanez | Social Worker | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3576 | 2012-09-10 |
| 1912262312 | Jill Mastrandrea | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3576 | 2012-07-11 |
| 1174894224 | Daniel J Giuseffi | Social Worker | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2012-01-21 |
| 1104146794 | Noelle Smith | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3653 | 2010-06-04 |
| 1295054443 | Antoinette Alvarado | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3653 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
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| 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.