Queens Psychotherapy LCSW PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

QUEENS PSYCHOTHERAPY LCSW PC

Practice address

8786 188TH St FL 1
Jamaica, NY 11423-1131

Phone

(917) 267-8359

NPI assigned

Aug 9, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Thomas Diner, PHD, LCSW

Title

Owner

Phone

(917) 267-8359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1407401011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 188TH ST FL 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114231131",
            "telephone_number": "917-267-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8786 188TH ST FL 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114231131",
            "telephone_number": "917-267-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "DINER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-267-8359",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Medical Care PC
• Queens Midland Medical PC
• Queens Pharmacy Center I Inc. (Queens Pharmacy Center)
• Queens Pharmacy Center II Inc (Queens Pharmacy Center)
• Queens Pharmacy Center Inc. (Queens Pharmacy Center)
• Queens Radiology Reading Services PC
• Queens RX Corp (New Parsons Pharmacy)
• Queens Social Adult Day Care Inc
• Queens Town Medical Care PLLC
• Queens Unity Pharmacy Inc (queens community express pharmacy)

• Community/Behavioral Health Agency in Jamaica, NY
• Providers in Jamaica, 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 9, 2019; 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.