PSYCHOTHERAPY LATINO SERVICE OF QUEENS LCSW PLLC
NPI 1356909741
Clinic/Center - Mental Health (Including Community Mental Health Center) in Nesconset, NY

Active since May 31, 2019
203 BROWNS RD, NESCONSET, NY 11767(646) 953-9259 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2026, Oct 30, 2020, May 31, 2019 (3 updates tracked since 2019).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About PSYCHOTHERAPY LATINO SERVICE OF QUEENS LCSW PLLC

This page provides the complete NPI Profile along with additional information for Psychotherapy Latino Service Of Queens Lcsw Pllc, a provider established in Nesconset, New York operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1356909741 assigned on May 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Evelyn Oudjehane Lcsw (Owner/therapist)

NPI
1356909741 Verify this NPI
Provider Name
PSYCHOTHERAPY LATINO SERVICE OF QUEENS LCSW PLLC
Entity Type
Organization
Location Address
203 BROWNS RD NESCONSET, NY 11767
Location Phone
(646) 953-9259
Mailing Address
203 BROWNS RD NESCONSET, NY 11767
Mailing Phone
(646) 953-9259
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2019
Last Update Date
04-07-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EVELYN OUDJEHANE LCSW

Authorized Official Title
OWNER/THERAPIST
Authorized Official Phone
(646) 953-9259

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
203 BROWNS RD
NESCONSET, NY 11767

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356909741, enumerated as an "organization" on May 31, 2019.

The provider is located at 203 BROWNS RD NESCONSET, NY 11767 and the phone number is (646) 953-9259.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).