Active NPI
Rego Park Counseling LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rego Park, NY
National Provider Identifier
1386337111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REGO PARK COUNSELING LLC
- Practice address
- 6336 99TH St
Rego Park, NY 11374-1979 - Phone
- (718) 459-2558
- Fax
- (718) 770-7676
- NPI assigned
- May 29, 2023
- 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
- Emanuil Kalendarev
- Title
- Ceo
- Phone
- (718) 496-3834
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
6336 99TH St
Rego Park, NY 11374-1979
Mailing address
6336 99TH St
Rego Park, NY 11374-1979
Phone (718) 459-2558
Other names 1
- Rego Park Mental Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rego Park, NY
- NPI 1235760927
O20200602002373
-
- Multi-Specialty Clinic/Center
- Fresh Meadows, NY
- NPI 1932061611
O20200602002373
National Provider Directory
National Provider Directory- Tax ID family
- Rego Park Counseling LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Rego Park, NY
- NPI 1528759073
-
- Multi-Specialty Clinic/Center
- Fresh Meadows, NY
- NPI 1932061611
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Rego Park, NY
- NPI 1689329708
-
- Occupational Therapist
- Flushing, NY
- NPI 1386698819
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1861790487
-
- Addiction Psychiatry Physician
- Teaneck, NJ
- NPI 1336175256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1386337111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6336 99TH ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741979",
"telephone_number": "718-459-2558",
"fax_number": "718-770-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6336 99TH ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741979",
"telephone_number": "718-459-2558",
"fax_number": "718-770-7676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGO PARK COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-29",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "KALENDAREV",
"authorized_official_first_name": "EMANUIL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-496-3834"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rego Park Mental Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.