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Contact Information

ADVANCED CENTER FOR PSYCHOTHERAPY
178-10 WEXFORD TERRACE
JAMAICA ESTATES, NY11432
 Phone: 718-658-1123
 Fax: 718-658-7091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ADVANCED CENTER FOR PSYCHOTHERAPY

NPI # 1124221437
LBN Legal business name ADVANCED CENTER FOR PSYCHOTHERAPY
Authorized official FRANK MESTECKS - (ACCOUNTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY Medicaid 00245836
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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