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MEDICAL PRACTICE NY PC
NPI 1437494648
Psychologist - Group Psychotherapy in Fresh Meadows, NY

Active since November 29, 2012
6923 168TH ST, FRESH MEADOWS, NY 11365(718) 755-0656 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Practice Ny Pc NPPES

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

MEDICAL PRACTICE NY PC (NPI 1437494648) is a healthcare organization registered as a group psychotherapy in Fresh Meadows, New York and active in the NPI registry since November 2012. The organization lists Yelena Mamedova Braz, Md, as its authorized official.

NPPES Registry Identity

NPI1437494648
Entity TypeOrganization
Primary Taxonomy103TP2701X
Legal Business NameMEDICAL PRACTICE NY PC
Location Address6923 168TH STFresh Meadows, NY 11365-3213
Mailing Address95-20 63 Rd Road Suite HRego Park, NY 11374 · (347) 813-4143
Phone(718) 755-0656
Organization SubpartNo
Authorized OfficialYelena Mamedova BrazMd · (718) 755-0656
Enumeration DateNovember 29, 2012
✔ NPI 1437494648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
License✔ Licensed in NY · 185185
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
6923 168TH ST, Fresh Meadows, NY 11365
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Other Identifiers 1

Medicaid01274024NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SVETLANA PINKHASOVA SLP M.A CCC
Speech-Language Pathologist
6923 168TH ST
FRESH MEADOWS, NY 11365
Queens County (718) 288-5066
CLAUDIA IORDACHE MD PSYCHIATRY PC
Psychologist (Group Psychotherapy)
6923 168TH ST
FRESH MEADOWS, NY 11365
Queens County (347) 730-4606

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 Medical Practice Ny PC's NPI number?

The NPI number for Medical Practice Ny PC is 1437494648. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is Medical Practice Ny PC located?

Medical Practice Ny PC is located at 6923 168th St, Fresh Meadows, NY 11365. The listed phone number is (718) 755-0656.

What is Medical Practice Ny PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for Medical Practice Ny PC was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.