Mental Health

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

003165 Issued in NY

Legal business name

MENTAL HEALTH

Practice address

100 N Central Ave
Valley Stream, NY 11580-3821

Phone

(516) 593-5024

Fax

(516) 593-5026

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olga J Mondesir, MENTAL HEALTH

Title

Licensed Mental Health

Phone

(516) 593-5024

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1043330582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13316 143RD ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362111",
            "telephone_number": "718-659-4621",
            "fax_number": "718-659-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803821",
            "telephone_number": "516-593-5024",
            "fax_number": "516-593-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MONDESIR",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED  MENTAL HEALTH",
        "authorized_official_telephone_number": "516-593-5024",
        "authorized_official_credential": "MENTAL HEALTH"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "003165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Monique Clemons-Smith
• Melpprivatedutynur
• Sybil Melville
• Zakir Memon, DO
• Filipe Silva Mendes, NP
• Cristian Merchan, PHARM.D.
• Georgesmarie Mercier, REGISTER NURSE
• Steven Merino
• Robin Merker, MD
• Karen Mermelstein, P.A.

• Point of Service in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.