Advanced Center for Psychotherapy
Organization Active NPI Psychologist · Jamaica Estates, NY
NPI 1477585206 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477585206
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- ADVANCED CENTER FOR PSYCHOTHERAPY
- Practice address
- 178-10 Wexford Terrace
Jamaica Estates, NY 11432 - Phone
- (718) 739-7099
- Fax
- (718) 658-4641
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Frank Mestecky, MBA
- Title
- Accountant
- Phone
- (718) 206-6821
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Advanced Center for Psychotherapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
178-10 Wexford Terrace
Jamaica Estates, NY 11432
Mailing address
178-10 Wexford Terrace
Jamaica Estates, NY 11432
Phone (718) 739-7099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00245836 | Medicaid | NY |
Other providers in Jamaica Estates, NY
- Tanya Lee Acquista
- Advanced Center for Psychotherapy
- Sergio Alcuaz Aguilar
- Madeline Bush
- Robyn Cannariato
- Department of Education
- Digestive Diseases & Nutrition LLC
All providers in Jamaica Estates, NY · Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.