NPIMap

Organization Active NPI

Peninsula Counseling Center,Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valley Stream, NY
National Provider Identifier
1437262839
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PENINSULA COUNSELING CENTER,INC
Practice address
50 W. Hawthorne Avenue
Valley Stream, NY 11580
Phone
(516) 569-6600
Fax
(516) 374-2261
NPI assigned
Aug 17, 2006
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Mrs. Jacqueline Rivera-Herrera
Title
VP of Finance for Clinical Services
Phone
(347) 542-4217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

50 W. Hawthorne Avenue
Valley Stream, NY 11580

Mailing address

142-02 20TH Avenue
3Rd Floor
Flushing, NY 11351
Phone (718) 559-0555

Other identifiers 1

IdentifierTypeStateIssuer
00244817MedicaidNY

Other names 1

  • Outpatient Mental Health Center Other name

National Provider Directory

National Provider Directory

Locations

381 Sunrise Hwy
Lynbrook, NY 11563
Phone (516) 599-1181

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 596-6600

73 S Central Ave
Valley Stream, NY 11580
Phone (516) 872-9698

108 Franklin Pl
Woodmere, NY 11598
Phone (516) 569-7890

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1437262839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-02 20TH AVENUE",
            "address_2": "3RD FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11351",
            "telephone_number": "718-559-0555",
            "fax_number": "718-445-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W. HAWTHORNE AVENUE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "516-569-6600",
            "fax_number": "516-374-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA COUNSELING CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA-HERRERA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VP OF FINANCE FOR CLINICAL SERVICES",
        "authorized_official_telephone_number": "347-542-4217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Mental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.