NPIMap

Organization Active NPI

Advanced Center for Psychotherapy

  • Group Psychotherapy Psychologist
  • Jamaica Estates, NY
National Provider Identifier
1124221437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
ADVANCED CENTER FOR PSYCHOTHERAPY
Practice address
178-10 Wexford Terrace
Jamaica Estates, NY 11432
Phone
(718) 658-1123
Fax
(718) 658-7091
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Frank Mestecks
Title
Accounts Manager
Phone
(718) 206-6821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

178-10 Wexford Terrace
Jamaica Estates, NY 11432

Mailing address

PO Box 9161
Uniondale, NY 11555-9161
Phone (631) 391-7794

Other identifiers 1

IdentifierTypeStateIssuer
00245836MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Advanced Center for Psychotherapy9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124221437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9161",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115559161",
            "telephone_number": "631-391-7794",
            "fax_number": "631-454-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178-10 WEXFORD TERRACE",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-658-1123",
            "fax_number": "718-658-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CENTER FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESTECKS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "718-206-6821"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Estates, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.