| The Child Center Of Ny, Inc. | |
|
11835 Queens Blvd 6th Floor Forest Hills NY 11375-7211 | |
| (718) 651-7770 | |
| (718) 396-8349 |
| Full Name | The Child Center Of Ny, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11835 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Jean M Coppola (BILLING SYSTEM ADMINISTRATOR) |
| Authorized Official Contact | 7186517770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Child Center Of Ny, Inc. 11835 Queens Blvd 6th Floor Forest Hills NY 11375-7211 Ph: (718) 651-7770 | The Child Center Of Ny, Inc. 11835 Queens Blvd 6th Floor Forest Hills NY 11375-7211 Ph: (718) 651-7770 |
| NPI Number | 1649329806 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 8426010638 |
|---|---|
| Medicare Enrollment ID | O20041101000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649329806 | NPI | - | NPPES |
| 00244371 | Medicaid | NY | |
| 7403085 | Other | NY | GHI |
| WV0071 | Other | NY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Edgardo Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629144019 PECOS PAC ID: 6002719945 Enrollment ID: I20040129000119 |
| Provider Name | George Isaac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043279342 PECOS PAC ID: 9537056213 Enrollment ID: I20040228000324 |
| Provider Name | Edward N Chai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568449213 PECOS PAC ID: 6709850472 Enrollment ID: I20040819001609 |
| Provider Name | Alla Weinstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104963628 PECOS PAC ID: 1850343229 Enrollment ID: I20050214000602 |
| Provider Name | Wing-kit Leung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386086122 PECOS PAC ID: 3678529393 Enrollment ID: I20050325000316 |
| Provider Name | Rose Lederman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326184532 PECOS PAC ID: 3870549108 Enrollment ID: I20050329001263 |
| Provider Name | Kwan Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528105210 PECOS PAC ID: 4082660329 Enrollment ID: I20050329001337 |
| Provider Name | Elizabeth Traverso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194865519 PECOS PAC ID: 6800833732 Enrollment ID: I20050412001527 |
| Provider Name | Elaine S Schechtel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669524427 PECOS PAC ID: 4688607120 Enrollment ID: I20050914001213 |
| Provider Name | Maureen A Hornung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992882260 PECOS PAC ID: 7618079633 Enrollment ID: I20070222000264 |
| Provider Name | Eugenia Guz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629126180 PECOS PAC ID: 0446339352 Enrollment ID: I20080505000094 |
| Provider Name | Nasir Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245432194 PECOS PAC ID: 7315063831 Enrollment ID: I20100922000068 |
| Provider Name | Bryan D Epel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356619910 PECOS PAC ID: 5799943916 Enrollment ID: I20120220000715 |
| Provider Name | Sandeep Dhingra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972853737 PECOS PAC ID: 0941454243 Enrollment ID: I20130215000020 |
| Provider Name | Shantie Schwarte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720228604 PECOS PAC ID: 4789819459 Enrollment ID: I20131105001314 |
| Provider Name | Anderson Sungmin Yoon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326176694 PECOS PAC ID: 4385885425 Enrollment ID: I20131119000099 |
| Provider Name | Maria Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063679868 PECOS PAC ID: 3476782046 Enrollment ID: I20140130000565 |
| Provider Name | Corinne Loretta Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598947756 PECOS PAC ID: 9234368820 Enrollment ID: I20140130001096 |
| Provider Name | Beverly Gould |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669519955 PECOS PAC ID: 4789813221 Enrollment ID: I20140204000805 |
| Provider Name | Elizabeth Alanis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578601100 PECOS PAC ID: 4385873736 Enrollment ID: I20140204001715 |
| Provider Name | Gisela Mamposo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447409776 PECOS PAC ID: 2961632013 Enrollment ID: I20140311001236 |
| Provider Name | Hye Won Kwon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487793956 PECOS PAC ID: 1850522830 Enrollment ID: I20140317001389 |
| Provider Name | Diane M Valente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033442876 PECOS PAC ID: 0648494484 Enrollment ID: I20140617001413 |
| Provider Name | Rose C Ubanwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831409861 PECOS PAC ID: 8628200292 Enrollment ID: I20140724002575 |
| Provider Name | Johanna Bos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215339346 PECOS PAC ID: 6709108392 Enrollment ID: I20141210001598 |
| Provider Name | Xuejun Chi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750428488 PECOS PAC ID: 5193044428 Enrollment ID: I20150507001332 |
| Provider Name | Cho-yung Wu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457638181 PECOS PAC ID: 9335447408 Enrollment ID: I20160406001609 |
| Provider Name | In Soon Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548334972 PECOS PAC ID: 9638458417 Enrollment ID: I20161118000560 |
| Provider Name | Philip Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164815452 PECOS PAC ID: 8022391747 Enrollment ID: I20170203000138 |
| Provider Name | Isaiah W Mui |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508201682 PECOS PAC ID: 8820363534 Enrollment ID: I20171005002717 |
| Provider Name | Erin Chung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952637233 PECOS PAC ID: 6507132594 Enrollment ID: I20171018002554 |
| Provider Name | Christine A Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255548095 PECOS PAC ID: 9234405127 Enrollment ID: I20171020000422 |
| Provider Name | Nicholas A Calabro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821239856 PECOS PAC ID: 2769758655 Enrollment ID: I20171020000598 |
| Provider Name | Benjamin A Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083995781 PECOS PAC ID: 8224394077 Enrollment ID: I20171110000054 |
| Provider Name | Xiaoli Meng-lumpkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457498792 PECOS PAC ID: 8820354673 Enrollment ID: I20171110000189 |
| Provider Name | Usha Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538524996 PECOS PAC ID: 3375890882 Enrollment ID: I20180716000105 |
| Provider Name | Hilda Massoud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114491420 PECOS PAC ID: 8426381104 Enrollment ID: I20190612001033 |
| Provider Name | Terri-ann N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437436433 PECOS PAC ID: 5092975227 Enrollment ID: I20190731000476 |
| Provider Name | Richard L Callado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952962227 PECOS PAC ID: 8426485715 Enrollment ID: I20200226001937 |
| Provider Name | Emmanuelle Lajeunesse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033592332 PECOS PAC ID: 0446662035 Enrollment ID: I20201228000513 |
| Provider Name | Qiuyuan Liu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770064933 PECOS PAC ID: 3971916750 Enrollment ID: I20210115002390 |
| Provider Name | Fengtao Huang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407300650 PECOS PAC ID: 0749694149 Enrollment ID: I20210126002228 |
| Provider Name | Yizhao Sheng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356864607 PECOS PAC ID: 2062826472 Enrollment ID: I20210126002980 |
| Provider Name | Jennifer G Han-ciccone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932428158 PECOS PAC ID: 8820402241 Enrollment ID: I20210126003368 |
| Provider Name | Yessenia Scarlett Rodriguez-moscol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073058350 PECOS PAC ID: 1759797210 Enrollment ID: I20210308001443 |
| Provider Name | Najiyah S Laskar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437542024 PECOS PAC ID: 0840606075 Enrollment ID: I20210312000181 |
| Provider Name | Xiomara Borja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932651767 PECOS PAC ID: 0941617682 Enrollment ID: I20210325001351 |
| Provider Name | Cynthia Restrepo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295136182 PECOS PAC ID: 8628487311 Enrollment ID: I20210510002114 |
| Provider Name | Won Joon Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568988715 PECOS PAC ID: 0547657850 Enrollment ID: I20220504002144 |
| Provider Name | Haozhi Yan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841901295 PECOS PAC ID: 6901278902 Enrollment ID: I20230220001642 |
| Provider Name | Zhui Yi Lin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760996136 PECOS PAC ID: 1254704570 Enrollment ID: I20230307000368 |
| Provider Name | Yenia Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982172961 PECOS PAC ID: 8022401272 Enrollment ID: I20230503001185 |
| Provider Name | Anna Bilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427757319 PECOS PAC ID: 8426417353 Enrollment ID: I20230710002388 |
| Provider Name | Maia Lucia Dioses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134609860 PECOS PAC ID: 4082068218 Enrollment ID: I20230921003300 |
| Provider Name | Guadalupe Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437677937 PECOS PAC ID: 0547614471 Enrollment ID: I20230927000797 |
| Provider Name | Rayna Wang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821656554 PECOS PAC ID: 9133574486 Enrollment ID: I20231006001466 |
| Provider Name | Rakin Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184350662 PECOS PAC ID: 3072961721 Enrollment ID: I20231120000596 |
| Provider Name | Nelly Marte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699365502 PECOS PAC ID: 2860841848 Enrollment ID: I20231215002406 |
| Provider Name | Marielys Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699139659 PECOS PAC ID: 8527410497 Enrollment ID: I20240116002732 |
| Provider Name | Luis Brignolo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710139274 PECOS PAC ID: 0941652812 Enrollment ID: I20240116002864 |
| Provider Name | Omar Kazi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750728853 PECOS PAC ID: 3375995277 Enrollment ID: I20240116003615 |
| Provider Name | Michele Neuhaus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093087678 PECOS PAC ID: 2961854724 Enrollment ID: I20240117001368 |
| Provider Name | Yezi Qiu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225333131 PECOS PAC ID: 6800248477 Enrollment ID: I20240118004020 |
| Provider Name | Fariha N Mahmud-syed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649759143 PECOS PAC ID: 0749632149 Enrollment ID: I20240122003205 |
| Provider Name | Grace Too Shao Wang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366627317 PECOS PAC ID: 1456703768 Enrollment ID: I20240122004058 |
| Provider Name | Taslima Choudhury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427439157 PECOS PAC ID: 8628421815 Enrollment ID: I20240124000705 |
| Provider Name | Jennifer Therese Despeine |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124618582 PECOS PAC ID: 3375996267 Enrollment ID: I20240126002331 |
| Provider Name | Kelly Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184173908 PECOS PAC ID: 2365885696 Enrollment ID: I20240202003928 |
| Provider Name | Stephanie De Los Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477118875 PECOS PAC ID: 4284077124 Enrollment ID: I20240208000768 |
| Provider Name | Diana-ioana Michelena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356864227 PECOS PAC ID: 5193169597 Enrollment ID: I20240213004189 |
| Provider Name | Karen Mohammed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760955710 PECOS PAC ID: 9436461696 Enrollment ID: I20240215001769 |
| Provider Name | Crystal Marie Semenets |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962997767 PECOS PAC ID: 0648619031 Enrollment ID: I20240418000588 |
| Provider Name | Catherine Mykytiuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154188704 PECOS PAC ID: 1153760400 Enrollment ID: I20240418003407 |
| Provider Name | Michelle Hope Malkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679332738 PECOS PAC ID: 2668811647 Enrollment ID: I20240424000514 |
| Provider Name | Edenny Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578827747 PECOS PAC ID: 4486196342 Enrollment ID: I20240606001816 |
| Provider Name | Lorna J Hines-cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396869343 PECOS PAC ID: 0749722106 Enrollment ID: I20240613000199 |
Dr Denise Granda-gilbert Clinical Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6 Station Square, Office On Street Level, Forest Hills, NY 11375 Phone: 718-268-8081 Fax: 718-268-2281 | |
Yes Psychotherapy Services Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10915 Queens Blvd, Ll, Forest Hills, NY 11375 Phone: 718-896-5615 Fax: 718-576-2693 | |
B Konnikow Physician Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11020 71st Rd, #104, Forest Hills, NY 11375 Phone: 718-263-3355 Fax: 718-263-3373 | |
Ezday Adult Day Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11714 Queens Blvd, 2nd Fl, Forest Hills, NY 11375 Phone: 718-575-8191 Fax: 718-575-8193 | |
Geriatric Psychological Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118-35 Queens Blvd., Suite 1403, Forest Hills, NY 11375 Phone: 718-268-6600 | |
Leslie M. Garcia, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 Austin St, 113 Lower Level, Forest Hills, NY 11375 Phone: 917-572-0013 | |
Kapwa Psychotherapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10524 63rd Dr Apt 1j, Forest Hills, NY 11375 Phone: 646-643-0796 |