PD Mental Health Counseling of Western Queens PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001402 Issued in NY

Legal business name

PD MENTAL HEALTH COUNSELING OF WESTERN QUEENS PLLC

Practice address

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

Phone

(718) 672-1538

Fax

(718) 429-0713

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Patricio Destvet, LMHC

Title

Director

Phone

(718) 672-1538

Specialties & licenses 1

Addresses

Other names 1

• THE CENTER AT WESTERN QUEENS Doing business as

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1386957801",
    "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 MENTAL HEALTH COUNSELING OF WESTERN QUEENS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "DESTVET",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "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": "001402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CENTER AT WESTERN QUEENS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucia Patino, O.D.
• Maria Yolanda Piamonte Patron, MD
• Valerie Paul, FNP
• Sabrina Paulino
• PD Mental Health Counseling of Queens County PLLC
• PD the Center Corp
• Pediatric Family MDPC
• Pediatrics for Queens & Kings
• Martha C Pedraza
• Pedro Pablo del Toro Baez M.D., P.C.

• Mental Health Counselor in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.