| Advanced Center For Psychotherapy | |
|
178-10 Wexford Terrace Jamaica Estates NY 11432 | |
| (718) 658-1123 | |
| (718) 658-7091 |
| Full Name | Advanced Center For Psychotherapy |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 178-10 Wexford Terrace, Jamaica Estates, New York |
| Authorized Official Name and Position | Frank Mestecks (ACCOUNTS MANAGER) |
| Authorized Official Contact | 7182066821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Center For Psychotherapy Po Box 9161 Uniondale NY 11555-9161 Ph: (631) 391-7794 | Advanced Center For Psychotherapy 178-10 Wexford Terrace Jamaica Estates NY 11432 Ph: (718) 658-1123 |
| NPI Number | 1124221437 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124221437 | NPI | - | NPPES |
| 00245836 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
Advanced Center For Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 178-10 Wexford Terrace, Jamaica Estates, NY 11432 Phone: 718-739-7099 Fax: 718-658-4641 |