Active NPI
Forest Hills DBT Center
- Mental Health Counselor
- Middle Village, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 084403
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joanna Kristeva, PHD, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900942417 | Other | NY | INSURANCE |
| 225401831930455 | Medicaid | NY |
Other names 1
- Vanya Krasteva
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- New York, NY
- NPI 1790033439
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.