NPIMap

Organization Active NPI

Queens County Neuropsychiatric Institute Inc.

  • Community/Behavioral Health Agency
  • Jackson HTS, NY
National Provider Identifier
1306906243
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6736120A Issued in NY
Legal business name
QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE INC.
Practice address
37 64 72ND St
Jackson HTS, NY 11372-6143
Phone
(718) 335-3434
Fax
(718) 335-4731
NPI assigned
Dec 11, 2006
Last updated
Dec 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Joseph J Faillace, PH.D.NPI 1780742056
Title
Executive Director
Phone
(718) 779-2434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6736120A NY Primary

Addresses

Primary practice location

37 64 72ND St
Jackson HTS, NY 11372-6143

Mailing address

37 64 72ND St
Jackson HTS, NY 11372-6143
Phone (718) 335-3434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1306906243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 64 72ND ST",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113726143",
            "telephone_number": "718-335-3434",
            "fax_number": "718-335-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 64 72ND ST",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113726143",
            "telephone_number": "718-335-3434",
            "fax_number": "718-335-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "FAILLACE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-779-2434",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "6736120A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson HTS, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.