JRC Evaluations & Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

081431 Issued in NY

Legal business name

JRC EVALUATIONS & SERVICES LLC

Practice address

221-17 91 Road
Queens Village, NY 11428

Phone

(516) 965-1009

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Jackie Chessen, LCSW

Title

Secretary of State

Phone

(516) 965-1009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1093258394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221-17 91 ROAD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "516-965-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221-17 91 ROAD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "516-965-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRC EVALUATIONS & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "CHESSEN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "SECRETARY OF STATE",
        "authorized_official_telephone_number": "516-965-1009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "081431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessy Thottankaramalil Joshy
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• Bryan Juano, RPT
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• Community/Behavioral Health Agency in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.