Organization Active NPI

PD the Center Corp

  • Mental Health Counselor
  • Jackson Heights, NY
National Provider Identifier
1265767982
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1402 Issued in NY
Legal business name
PD THE CENTER CORP
Practice address
7410 35TH Ave
Suite 107 W
Jackson Heights, NY 11372-8197
Phone
(718) 672-1538
Fax
(718) 429-0713
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Mr. Patricio Destuet, LMHC
Title
Owner
Phone
(718) 672-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1402 NY Primary

Addresses

Primary practice location

7410 35TH Ave
Suite 107 W
Jackson Heights, NY 11372-8197

Mailing address

7410 35TH Ave
Suite 107 W
Jackson Heights, NY 11372-8197
Phone (718) 672-1538

Other names 1

  • The Center at Western Queens Doing business as

National Provider Directory

National Provider Directory

Locations

7410 35th Ave
Apt 107W
Jackson Heights, NY 11372
Phone (718) 672-1538

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1265767982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 35TH AVE",
            "address_2": "SUITE 107 W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728197",
            "telephone_number": "718-672-1538",
            "fax_number": "718-429-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 35TH AVE",
            "address_2": "SUITE 107 W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728197",
            "telephone_number": "718-672-1538",
            "fax_number": "718-429-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD THE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "DESTUET",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-672-1538",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center at Western Queens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.