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QUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH JCAP
NPI 1518331503
Substance Abuse Rehabilitation Facility in Jamaica, NY

Active since November 14, 2015CLIA 33D2126463 · Waiver
11630 SUTPHIN BLVD, JAMAICA, NY 11434(718) 322-2500 Get Directions Write a Review

NPPES record last updated: November 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Queens Village Committee For Mental Health Jcap NPPES

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

QUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH JCAP (NPI 1518331503) is a healthcare organization registered as a substance abuse rehabilitation facility in Jamaica, New York and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mervin D Rhymes, Program Director, as its authorized official.

NPPES Registry Identity

NPI1518331503
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameQUEENS VILLAGE COMMITTEE FOR MENTAL HEALTH JCAP
Location Address11630 SUTPHIN BLVDJamaica, NY 11434-1527
Mailing Address11630 Sutphin BlvdJamaica, NY 11434-1527 · (718) 322-2500
Phone(718) 322-2500
Organization SubpartNo
Authorized OfficialMervin D RhymesProgram Director · (718) 322-2500
Enumeration DateNovember 14, 2015
✔ NPI 1518331503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NY · 12497
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

11630 SUTPHIN BLVD, Jamaica, NY 11434
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2126463

Queens Village Committee For Mental Health · Jamaica, NY
Active · expires Mar 26, 2027
CLIA Number33D2126463
Laboratory TypeHealth Fair
Certificate Effective DateFebruary 28, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. David C. Collymore
Laboratory Phone(718) 322-2500
Laboratory LocationQueens Village Committee For Mental Health116-30 Sutphin Blvd, Jamaica, NY 11434
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RUKHSANA RASHEED M.D.
Internal Medicine
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
MS. DONNA LYN PERLMUTTER LCSW
Counselor (Mental Health)
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-1888
MR. DARRELL DEVONISH CASAC-T
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
NANCY SIGRID BRINN LMSW
Social Worker
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 712-1100
MONALYSSA BARNES
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
JOHN FRANK RICKS CASAC
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
MS. DENISE TURNER
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
MR. DAVID WHITE
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD, JAMAICA, QUEENS
JAMAICA, NY 11434
Queens County (718) 322-2500

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 Queens Village Committee For Mental Health Jcap's NPI number?

The NPI number for Queens Village Committee For Mental Health Jcap is 1518331503. It was assigned to this organization in the NPPES registry on November 14, 2015.

Where is Queens Village Committee For Mental Health Jcap located?

Queens Village Committee For Mental Health Jcap is located at 11630 Sutphin Blvd, Jamaica, NY 11434. The listed phone number is (718) 322-2500.

What is Queens Village Committee For Mental Health Jcap's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Queens Village Committee For Mental Health Jcap hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2126463) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Queens Village Committee For Mental Health Jcap was last updated on November 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.