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ETAT DAME PSYCHOLOGICAL SERVICES
NPI 1306667142
Clinic/Center - Adult Mental Health in Long Island City, NY

Active since October 23, 2024
4332 22ND ST STE 203, LONG ISLAND CITY, NY 11101(929) 738-1592 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Etat Dame Psychological Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETAT DAME PSYCHOLOGICAL SERVICES (NPI 1306667142) is a healthcare organization registered as an adult mental health in Long Island City, New York and active in the NPI registry since October 2024. The organization maintains 2 additional practice locations and lists Jihee Cho, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1306667142
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameETAT DAME PSYCHOLOGICAL SERVICES
Location Address4332 22ND ST STE 203Long Island City, NY 11101-5077
Mailing Address4332 22nd St Ste 203Long Island City, NY 11101-5077 · (929) 738-1592
Phone(929) 738-1592
Organization SubpartNo
Authorized OfficialJihee ChoCo-founder · (929) 738-1592
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1306667142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4332 22ND ST STE 203, Long Island City, NY 11101
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Secondary Practice Locations 2

Location 11143 47th Ave Fl 2Long Island City, NY 11101-5465 · Phone (646) 450-2475
Location 21 Pine West Plz Ste 109Albany, NY 12205-5531 · Phone (929) 738-1592

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMONE WILLIAMS LMHC
Counselor (Mental Health)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (347) 426-6072
MIND IN MOTION PSYCHOLOGICAL SERVICES, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (347) 352-3971
MIOK IM
Nurse Practitioner (Family)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (551) 395-7952
MI JUNG YOU LMHC
Counselor (Mental Health)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (917) 497-4024
MIND LAB PSYCHOLOGICAL SERVICES, PLLC
Psychologist (Clinical)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (217) 766-3853
WELLBEING CLINIC PC
Nurse Practitioner (Psychiatric/Mental Health)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (551) 395-7952
DAMIEN TILLIMAN
Psychologist (Clinical)
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (585) 750-0091
MICHAEL LING DPT
Physical Therapist
4332 22ND ST STE 203
LONG ISLAND CITY, NY 11101
Queens County (646) 450-2475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etat Dame Psychological Services's NPI number?

The NPI number for Etat Dame Psychological Services is 1306667142. It was assigned to this organization in the NPPES registry on October 23, 2024.

Where is Etat Dame Psychological Services located?

Etat Dame Psychological Services is located at 4332 22nd St Ste 203, Long Island City, NY 11101. The listed phone number is (929) 738-1592.

What is Etat Dame Psychological Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Etat Dame Psychological Services was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.