MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC
NPI 1477699791
Clinic/Center - Adult Mental Health in Jackson Heights, NY

Active since January 30, 2007
74 09 37TH AVE, SUITE 315, JACKSON HEIGHTS, NY 11372(718) 672-1705(718) 672-2027 Get Directions Write a Review

NPPES record last updated: August 11, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Mental Health

About MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC

This page provides the complete NPI Profile along with additional information for Mental Health Providers Of Western Queens, Inc, a provider established in Jackson Heights, New York operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1477699791 assigned on January 2007. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Mental Health Providers Of Western Queens, Inc. The authorized official of this NPI record is Rosa E Martinez-cao (Senior Office Manager)

NPI
1477699791 Verify this NPI
Provider Legal Name
MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.
Other Organization Name
MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
74 09 37TH AVE SUITE 315 JACKSON HEIGHTS, NY 11372
Location Phone
(718) 672-1705
Location Fax
(718) 672-2027
Mailing Address
74 09 37TH AVE SUITE 315 JACKSON HEIGHTS, NY 11372
Mailing Phone
(718) 672-1705
Mailing Fax
(718) 672-2027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2007
Last Update Date
08-11-2009
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2251S00000XAgencies

Community/Behavioral Health

 
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ROSA E MARTINEZ-CAO

Authorized Official Title
SENIOR OFFICE MANAGER
Authorized Official Phone
(718) 672-1705

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00848453MEDICAID (05)NY 
69273MEDICARE PIN (08)NY 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477699791, enumerated as an "organization" on January 30, 2007.

The provider is located at 74 09 37TH AVE SUITE 315 JACKSON HEIGHTS, NY 11372 and the phone number is (718) 672-1705.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.