Therapeutic Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

F401266 Issued in NY

Legal business name

THERAPEUTIC CLINIC

Practice address

3553 77TH St # a-2B
Jackson Heights
Jackson Heights, NY 11372-4551

Phone

(718) 457-7998

Fax

(718) 457-7998

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Ester Pascual Mendoza, NP

Title

NPP( Psychiatry )

Phone

(718) 457-7998

Specialties & licenses 1

Addresses

Other names 1

• Self-employment Doing business as

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1922398239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 77TH ST # A-2B",
            "address_2": "JACKSON HEIGHTS",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724551",
            "telephone_number": "718-457-7998",
            "fax_number": "718-457-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 77TH ST # A-2B",
            "address_2": "JACKSON HEIGHTS",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724551",
            "telephone_number": "718-457-7998",
            "fax_number": "718-457-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ESTER",
        "authorized_official_middle_name": "PASCUAL",
        "authorized_official_title_or_position": "NPP( PSYCHIATRY )",
        "authorized_official_telephone_number": "718-457-7998",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "F401266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self-employment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.