Queens Village Committee for Mental Health Jcap

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

12497 Issued in NY

Legal business name

QUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH JCAP

Practice address

11630 Sutphin Blvd
Jamaica, NY 11434-1527

Phone

(718) 322-2500

NPI assigned

Nov 14, 2015

Last updated

Nov 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mervin D Rhymes, CASACNPI 1356714141

Title

Program Director

Phone

(718) 322-2500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mervin Rhymes, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Jamaica, NY
  • NPI 1356714141
  Authorized official Same address or phone

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447459200000",
    "number": "1518331503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341527",
            "telephone_number": "718-322-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341527",
            "telephone_number": "718-322-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH JCAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-14",
        "last_updated": "2015-11-14",
        "status": "A",
        "authorized_official_last_name": "RHYMES",
        "authorized_official_first_name": "MERVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-322-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "12497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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)
• Queens Village Committee for Mental Health for J-Cap, Inc
• Damien Quesada
• Quick Scripts Inc (Lifecare RX)
• Doris Quijano, MSW
• Sarah Alana Quintal, M.ED.
• Ryan Quirk, MD

• Substance Abuse Rehabilitation Facility in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.