YESODOT, INC (NPI# 1609409887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609409887 |
| Entity Type | Organization |
| Organization Name | YESODOT, INC |
| Practice Address |
110-06 69th Ave Forest Hills NY 11375 |
| Practice Telephone | 3476175751 |
| Mailing Telephone | 3476175751 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | MRS. ILANA RACHNAEV (SENIOR CLINICAL DIRECTOR/COFOUNDER) |
| Authorized Official Telephone | 3476173502 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
110-06 69TH AVE |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| 1558847889 | Sharice Janei White | Social Worker | 140-70 Queens Blvd, Forest Hills, NY 11375 | 2018-07-19 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146849 | St Xavier Home Care Services Inc | Community/Behavioral Health | 7235 112th St Ste Pr1, Forest Hills, NY 11375-5451 | 2020-05-28 |
| 1699206110 | Mary Anne Giampetruzzi Msw | Community/Behavioral Health | 10011 67th Rd, Forest Hills, NY 11375-2754 | 2017-03-26 |
| 1437697117 | Mercy Drive Regional | Community/Behavioral Health | 7235 112th St # Sst, Pr-6, Forest Hills, NY 11375-5469 | 2017-02-02 |
| 1700235397 | Achieve Beyond | Community/Behavioral Health | 7000 Austin St, Suite 200, Forest Hills, NY 11375 | 2016-06-06 |
| 1306357660 | Olivia Tursi, Lcsw, Pllc | Community/Behavioral Health | 10209 Metropolitan Ave Fl 2, Forest Hills, NY 11375 | 2017-10-13 |
| 1417329194 | Medeli Tavarez | Community/Behavioral Health | 7000 Austin St, Suite 200, Forest Hills, NY 11375-1022 | 2015-10-21 |
| 1518333426 | Concern4community, LLC | Community/Behavioral Health | 11835 Queens Blvd, Suite 400, Forest Hills, NY 11375-7200 | 2015-08-14 |
| 1801288568 | Province Therapeutics, LLC | Community/Behavioral Health | 11835 Queens Blvd, Suite 400, Forest Hills, NY 11375-7200 | 2015-03-04 |
| 1962812958 | Mariya Yakutilova | Community/Behavioral Health | 10812 72nd Ave, Forest Hills, NY 11375-7079 | 2014-04-30 |
| 1912250465 | Steve | Community/Behavioral Health | 11714 Queens Blvd, 2nd Fl, Forest Hills, NY 11375-7052 | 2012-10-22 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on YESODOT, INC.
| 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.