Organization Active NPI

Queens Psychiatric Services PLLC

  • Behavior Analyst
  • Hollis, NY
National Provider Identifier
1902234495
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
150216 Issued in NY
Legal business name
QUEENS PSYCHIATRIC SERVICES PLLC
Practice address
8004 190TH St
Hollis, NY 11423-1039
Phone
(718) 224-6802
Fax
(718) 224-6444
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Usha Tandon, MDNPI 1487691820
Title
Owner
Phone
(718) 564-3092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 150216 NY Primary

Addresses

Primary practice location

8004 190TH St
Hollis, NY 11423-1039

Mailing address

8004 190TH St
Hollis, NY 11423-1039
Phone (718) 224-6802

National Provider Directory

National Provider Directory

Locations

8004 190th St
Hollis, NY 11423
Phone (347) 829-6322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1902234495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 190TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231039",
            "telephone_number": "718-224-6802",
            "fax_number": "718-224-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 190TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231039",
            "telephone_number": "718-224-6802",
            "fax_number": "718-224-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "TANDON",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-564-3092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "150216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.