Active NPI
PD the Center Corp
- Mental Health Counselor
- Jackson Heights, NY
National Provider Identifier
1265767982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1402
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.