Peninsula Counseling Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6797100ANY Issued in NY

Legal business name

PENINSULA COUNSELING CENTER INC

Practice address

124 Franklin Place
Woodmere, NY 11598

Phone

(516) 569-6600

Fax

(516) 374-2261

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Herbert E Ruben, LCSW NY STATE

Title

Executive Director

Phone

(516) 569-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Peninsula Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Peninsula Counseling Center

  • Community/Behavioral Health Agency
  • Valley Stream, NY
  • NPI 1154731172
  NPD tax ID
• Peninsula Counseling Center

  • Clinical Social Worker
  • Woodmere, NY
  • NPI 1669526562
  NPD tax ID

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386795987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FRANKLIN PLACE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-569-6600",
            "fax_number": "516-374-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 FRANKLIN PLACE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-569-6600",
            "fax_number": "516-374-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBEN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-569-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW NY STATE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "6797100ANY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paramount Diagnostics LLC
• Tziona Paul, OTR/L
• Peak Health Physical Therapy, PC
• Elizabeth Pena
• Peninsula Counseling Center
• Shoshana Penstein, MA
• Debra A Peredo
• Joan Perkell, SOCIAL WORKER MSW
• Dylan Rose Pingree
• Ira A Pion, M.D.

• Community/Behavioral Health Agency in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.