LEXINGTON CENTER FOR MENTAL HEALTH SERVICES, INC. (NPI# 1659351021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659351021 |
Entity Type | Organization |
Organization Name | LEXINGTON CENTER FOR MENTAL HEALTH SERVICES, INC. |
Practice Address |
2626 75th St East Elmhurst NY 11370-1427 |
Practice Telephone | 7183503143 |
Practice Fax Number | 7183503072 |
Mailing Telephone | 7183503143 |
Mailing Fax Number | 7183503067 |
Enumeration Date | 2006-01-20 |
Last Update Date | 2020-06-25 |
Authorized Official Name | MS. ADELE I AGIN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7183503110 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
008745-1 | NY | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
R018908-01 | NY | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
073182-01 | NY | Behavioral Health & Social Service Providers |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
2626 75TH ST |
City | EAST ELMHURST |
State | NY |
Zip Code | 11370-1427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063980068 | Jacob D. Thornton | Counselor | 2626 75th St, East Elmhurst, NY 11370-1427 | 2018-11-07 |
1972975472 | Dana Mcmenamin | Speech-Language Pathologist | 2626 75th St, East Elmhurst, NY 11370-1427 | 2015-10-22 |
1376929331 | Henry Ventura | Counselor | 2626 75th St, East Elmhurst, NY 11370-1427 | 2015-07-31 |
1598140626 | Lexington Vocational Services Center, Inc. | Case Management | 2626 75th St, East Elmhurst, NY 11370-1427 | 2015-07-30 |
1679969901 | Renae Flammia | Counselor | 2626 75th St, Lexington Center for The Deaf, East Elmhurst, NY 11370-1427 | 2015-04-14 |
1801296363 | Colleen Lange | Speech-Language Pathologist | 2626 75th St, East Elmhurst, NY 11370-1427 | 2014-09-02 |
1417370172 | Randolph Mowry | Counselor | 2626 75th St, East Elmhurst, NY 11370-1427 | 2014-01-30 |
1215379367 | Erin Brook Mclaughlin | Student in an Organized Health Care Education/Training Program | 2626 75th St, East Elmhurst, NY 11370-1427 | 2013-07-17 |
1982967162 | Christine Hernandez | Specialist | 2626 75th St, East Elmhurst, NY 11370-1427 | 2012-06-21 |
1649551540 | Lusanne Yvette Massaro | Counselor | 2626 75th St, East Elmhurst, NY 11370-1427 | 2011-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417582743 | Susan Sam Varughese | Pharmacist | George Motchan Detention Centre Correctional Facility, 15-15 Hazen Street, East Elmhurst, NY 11370 | 2020-03-06 |
1881166015 | Lisa Marie Friese | Registered Nurse | 7819 31st Ave Apt 1f, East Elmhurst, NY 11370 | 2018-12-28 |
1376010769 | Nassau Queens Medical Care Pllc | Family Medicine | 7535 31st Avenue, Suite 205, East Elmhurst, NY 11370 | 2018-10-24 |
1073090940 | David Herrera | Chiropractor | 32-54 83 Street, East Elmhurst, NY 11370 | 2018-07-24 |
1679094692 | Emese Szirtes-paksi | Registered Nurse | 7809 21st Avenue, East Elmhurst, NY 11370 | 2017-06-29 |
1598201410 | Albert Peralta | Optometrist | 30-38 70th Street Apt #3, East Elmhurst, NY 11370 | 2017-01-17 |
1982150967 | Helena Premchand | Nurse Practitioner | 201 Contruction Way, Rikers Island, East Elmhurst, NY 11370 | 2016-08-30 |
1093177305 | Morgan Sapolsky | Speech-Language Pathologist | 25-26 75th St, East Elmhurst, NY 11370 | 2016-03-25 |
1104203934 | Karen Yanelli, LLC | Clinic/Center | 2126 73rd St., East Elmhurst, NY 11370 | 2015-04-30 |
1144619974 | Mandeep Kaur | Day Training, Developmentally Disabled Services | 3012 81 Street, East Elmhurst, NY 11370 | 2015-01-16 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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City | EAST ELMHURST |
Zip Code | 11370 |
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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.