PENINSULA COUNSELING CENTERINC NPI 1437262839

NPI Information

  • NPI: 1437262839
  • Provider Name: PENINSULA COUNSELING CENTER,INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: OUTPATIENT MENTAL HEALTH CENTER
  • Address: 50 W. HAWTHORNE AVENUE
    VALLEY STREAM, NY
    ZIP 11580
  • Phone: (516) 569-6600

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NPI Details

PENINSULA COUNSELING CENTER,INC is a mental health (including community mental health center) clinic center in Valley Stream, NY. PENINSULA COUNSELING CENTER,INC NPI is 1437262839. The provider is registered as an organization entity type.
The provider Other Name Is Outpatient Mental Health Center.

The provider's business location address is:

50 W. HAWTHORNE AVENUE
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 569-6600
Fax: (516) 374-2261

The provider's authorized official is Jacqueline Rivera-herrera .
The authorized official title is Vp Of Finance For Clinical Services and has the following contact phone number (347) 542-4217.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 3/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100244817MEDICAIDNEW YORK
2W02541MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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