Organization Active NPI

Forest Hills DBT Center

  • Mental Health Counselor
  • Middle Village, NY
National Provider Identifier
1639690043
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
084403 Issued in NY
Legal business name
FOREST HILLS DBT CENTER
Practice address
7405 Metropolitan Ave Ste 2F
Middle Village, NY 11379-2636
Phone
(814) 503-0986
Fax
(917) 725-9299
NPI assigned
Jul 6, 2017
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Dr. Joanna Kristeva, PHD, LCSWNPI 1790033439
Title
Psychotherapist
Phone
(814) 503-0986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 084403 NY Primary

Addresses

Primary practice location

7405 Metropolitan Ave Ste 2F
Middle Village, NY 11379-2636

Mailing address

7405 Metropolitan Ave
Middle Village, NY 11379-2636
Phone (814) 503-0986

Other practice location 1

6143 186th St
Fresh Meadows, NY 11365-2710
Phone (347) 815-4228

Other practice location 2

14108 Jewel Ave
Flushing, NY 11367-1618
Phone (347) 829-4228

Other identifiers 2

IdentifierTypeStateIssuer
900942417OtherNYINSURANCE
225401831930455MedicaidNY

Other names 1

  • Vanya Krasteva Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1639690043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792636",
            "telephone_number": "814-503-0986",
            "fax_number": "917-725-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 METROPOLITAN AVE STE 2F",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792636",
            "telephone_number": "814-503-0986",
            "fax_number": "917-725-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6143 186th St",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113652710",
            "country_code": "US",
            "telephone_number": "347-815-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14108 Jewel Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113671618",
            "country_code": "US",
            "telephone_number": "347-829-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREST HILLS DBT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "KRISTEVA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "814-503-0986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "084403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "900942417",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225401831930455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanya Krasteva",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.