MBS Wellness Services Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

MBS WELLNESS SERVICES INC

Practice address

69 Jamaica Ave
Wyandanch, NY 11798

Phone

(516) 510-5424

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Juan Gracia, LMSW

Title

President

Phone

(516) 510-5424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1124805692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 UTICA ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064624",
            "telephone_number": "516-510-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 JAMAICA AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "11798",
            "telephone_number": "516-510-5424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Utica St",
            "address_2": "126 Utica St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117064624",
            "country_code": "US",
            "telephone_number": "516-510-5424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MBS WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-510-5424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.