| Queens County Neuropsychiatric Institute Inc. | |
|
37 64 72nd St Jackson Hts NY 11372-6143 | |
| (718) 335-3434 | |
| (718) 335-4731 |
| Full Name | Queens County Neuropsychiatric Institute Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 37 64 72nd St, Jackson Hts, New York |
| Authorized Official Name and Position | Joseph J Faillace (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7187792434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens County Neuropsychiatric Institute Inc. 37 64 72nd St Jackson Hts NY 11372-6143 Ph: (718) 335-3434 | Queens County Neuropsychiatric Institute Inc. 37 64 72nd St Jackson Hts NY 11372-6143 Ph: (718) 335-3434 |
| NPI Number | 1306906243 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 12/20/2017 |
| Medicare PECOS PAC ID | 8527030642 |
|---|---|
| Medicare Enrollment ID | O20040810000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306906243 | NPI | - | NPPES |
| 00249610 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6736120A (New York) | Primary |
| Provider Name | Gary Weinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184712945 PECOS PAC ID: 2769467265 Enrollment ID: I20040621000110 |
| Provider Name | Edwin L Cueva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952319261 PECOS PAC ID: 3870546146 Enrollment ID: I20050226000035 |
| Provider Name | Omar A Pena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700965415 PECOS PAC ID: 5799836706 Enrollment ID: I20090702000664 |
| Provider Name | Carol D Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821016973 PECOS PAC ID: 5294916003 Enrollment ID: I20110228000610 |
| Provider Name | Kren K Shriver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699833939 PECOS PAC ID: 0840467239 Enrollment ID: I20120126000184 |
| Provider Name | Rene G Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629387444 PECOS PAC ID: 3678722238 Enrollment ID: I20120926000180 |
| Provider Name | Alexandra Jean-charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386353910 PECOS PAC ID: 9739553546 Enrollment ID: I20230317001782 |
Legacy Medical Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3741 77th St, Jackson Hts, NY 11372 Phone: 718-406-9588 | |
Opus Therapy Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 75th St Apt 208, Jackson Hts, NY 11372 Phone: 917-837-9194 |