Inna Subotin, M.A., MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002859 Issued in NY

Practice address

102-30 66 Road
3C
Forest Hills, NY 11375-7616

Phone

(917) 771-8623

Fax

(718) 897-0095

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Center for Psychotherapy IncGroup PAC ID 7113918087, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Center for Psychotherapy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1346261666
  Medicare reassignment Care Compare group NPD
• Jamaica Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174749188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102-30 66TH RD",
            "address_2": "3C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757616",
            "telephone_number": "917-771-8623",
            "fax_number": "718-897-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-30 66 ROAD",
            "address_2": "3C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757616",
            "telephone_number": "917-771-8623",
            "fax_number": "718-897-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10326 68th Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753200",
            "country_code": "US",
            "telephone_number": "917-771-8623",
            "fax_number": "718-897-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBOTIN",
        "first_name": "INNA",
        "credential": "M.A., MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anca Marilena Stuparu, NP
• Ana Su
• Yang Su
• Naudy S Suarez
• Yuddy Y Suarez
• Jennifer S Suero, MA
• Jingyi Sui
• Patrick Joseph Sullivan, LCSW
• Rosemarie Anna Sultana
• Aziza Sultanova

• Mental Health Counselor in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.