| Pd Mental Health Counseling Of Queens County Pllc | |
|
7410 35th Ave Apt 107w Jackson Heights NY 11372-8105 | |
| (718) 672-1538 | |
| (718) 898-5700 |
| Full Name | Pd Mental Health Counseling Of Queens County Pllc |
|---|---|
| Speciality | Counselor |
| Location | 7410 35th Ave Apt 107w, Jackson Heights, New York |
| Authorized Official Name and Position | Patricio Destvet (DIRECTOR) |
| Authorized Official Contact | 7188985600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pd Mental Health Counseling Of Queens County Pllc 7410 35th Ave Apt 107w Jackson Heights NY 11372-8105 Ph: (718) 672-1538 | Pd Mental Health Counseling Of Queens County Pllc 7410 35th Ave Apt 107w Jackson Heights NY 11372-8105 Ph: (718) 672-1538 |
| NPI Number | 1548810088 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 0446692404 |
|---|---|
| Medicare Enrollment ID | O20240523000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548810088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricio Destvet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639220197 PECOS PAC ID: 4082056940 Enrollment ID: I20240524000047 |
| Provider Name | Joshua Pinto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235531070 PECOS PAC ID: 5698117455 Enrollment ID: I20240524000093 |
| Provider Name | Diana M Rojas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285017004 PECOS PAC ID: 5294177051 Enrollment ID: I20240524000186 |
| Provider Name | Michael Anavian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225506496 PECOS PAC ID: 8729420591 Enrollment ID: I20240524000245 |
| Provider Name | Jessica Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700200441 PECOS PAC ID: 1254773021 Enrollment ID: I20240524000302 |
| Provider Name | Megumi Moritoki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295162287 PECOS PAC ID: 4789026550 Enrollment ID: I20240524000387 |
| Provider Name | Rafael Moreira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538320981 PECOS PAC ID: 7113369984 Enrollment ID: I20240524000463 |
| Provider Name | Rafael Valentin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205429537 PECOS PAC ID: 6103268974 Enrollment ID: I20240524000524 |
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