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PROVINCE THERAPEUTICS, LLC
NPI 1801288568
Community/Behavioral Health in Forest Hills, NY

Active since March 04, 2015
11835 QUEENS BLVD, SUITE 400, FOREST HILLS, NY 11375(631) 827-9189 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Province Therapeutics, Llc NPPES

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

PROVINCE THERAPEUTICS, LLC (NPI 1801288568) is a healthcare organization registered as a community/behavioral health in Forest Hills, New York and active in the NPI registry since March 2015. The organization lists Ashley E Patrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1801288568
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROVINCE THERAPEUTICS, LLC
Location Address11835 QUEENS BLVD, SUITE 400Forest Hills, NY 11375-7200
Mailing Address11835 Queens Blvd, Suite 400Forest Hills, NY 11375-7200
Phone(631) 827-9189
Organization SubpartNo
Authorized OfficialAshley E PatrickOwner · (631) 827-9189
Enumeration DateMarch 4, 2015
Last NPPES UpdateMarch 23, 2017
✔ NPI 1801288568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
11835 QUEENS BLVD, Forest Hills, NY 11375
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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.

AMANDA KAJU
Social Worker
11835 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 651-7770
ABIGAIL STEIN
Community Health Worker
11835 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 651-7770
DR. KRISTINA WONG THIES PSY.D.
Psychologist
11835 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (917) 426-1170
ALEIA JURE
Counselor (Mental Health)
11835 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (347) 725-1184
NATELA KHAIMOVA
Case Manager/Care Coordinator
11835 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 570-1920
DR. BARBARA GOLDSTEIN PH.D.
Audiologist
11835 QUEENS BLVD, SUITE 1430
FOREST HILLS, NY 11375
Queens County (718) 773-8888
MRS. TINA O BOLAJI
Community Health Worker
11835 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 657-7770
JEWELYN SONDERMAN DNP
Nurse Practitioner (Family)
11835 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (925) 436-0679

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 Province Therapeutics, LLC's NPI number?

The NPI number for Province Therapeutics, LLC is 1801288568. It was assigned to this organization in the NPPES registry on March 4, 2015.

Where is Province Therapeutics, LLC located?

Province Therapeutics, LLC is located at 11835 Queens Blvd Suite 400, Forest Hills, NY 11375. The listed phone number is (631) 827-9189.

What is Province Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Province Therapeutics, LLC was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.