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MARIYA YAKUTILOVA
NPI 1962812958
Community/Behavioral Health in Forest Hills, NY

Active since April 30, 2014
10812 72ND AVE, FOREST HILLS, NY 11375(646) 402-4543 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mariya Yakutilova NPPES

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

MARIYA YAKUTILOVA (NPI 1962812958) is a healthcare organization registered as a community/behavioral health in Forest Hills, New York and active in the NPI registry since April 2014. The organization lists Mariya Yakutilova, Cota, as its authorized official.

NPPES Registry Identity

NPI1962812958
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARIYA YAKUTILOVA
Location Address10812 72ND AVEForest Hills, NY 11375-7079
Mailing Address9823 Horace Harding Expy Apt 6eCorona, NY 11368-4258 · (646) 402-4543
Phone(646) 402-4543
Organization SubpartNo
Authorized OfficialMariya YakutilovaCota · (646) 402-4543
Enumeration DateApril 30, 2014
✔ NPI 1962812958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NY · 007061
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.
10812 72ND AVE, Forest Hills, NY 11375
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Other Providers at the Same Location NPPES 4

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

MANJEET KAUR
Clinic/Center
10812 72ND AVE
FOREST HILLS, NY 11375
Queens County (917) 859-5856
ELITE AUDIOLOGY PC
Clinic/Center (Hearing and Speech)
10812 72ND AVE, 3RD FLOOR
FOREST HILLS, NY 11375
Queens County (917) 459-8968
MILANA COHEN OTR/L
Occupational Therapist (Pediatrics)
10812 72ND AVE
FOREST HILLS, NY 11375
Queens County (917) 783-2181
GENNADY UKRAINSKY M.D.
Specialist
10812 72ND AVE, 3RD FLOOR
FOREST HILLS, NY 11375
Queens County (718) 544-9300

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 Mariya Yakutilova's NPI number?

The NPI number for Mariya Yakutilova is 1962812958. It was assigned to this organization in the NPPES registry on April 30, 2014.

Where is Mariya Yakutilova located?

Mariya Yakutilova is located at 10812 72nd Ave, Forest Hills, NY 11375. The listed phone number is (646) 402-4543.

What is Mariya Yakutilova'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 Mariya Yakutilova was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.