MEDICAL PRACTICE NY PC
NPI 1437494648
Psychologist - Group Psychotherapy in Fresh Meadows, NY

NPI Status: Active since November 29, 2012

Contact Information

6923 168TH ST
FRESH MEADOWS, NY
ZIP 11365
Phone: (718) 755-0656

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  • Organization
  • Psychologist
  • Group Psychotherapy

About MEDICAL PRACTICE NY PC

This page provides the complete NPI Profile along with additional information for Medical Practice Ny Pc, a provider established in Fresh Meadows, New York operating as a Psychologist, focusing in group psychotherapy . The healthcare provider is registered in the NPI registry with number 1437494648 assigned on November 2012. The practitioner's primary taxonomy code is 103TP2701X with license number 185185 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Yelena Mamedova Braz Md (Md)

NPI
1437494648
Provider Name
MEDICAL PRACTICE NY PC
Entity Type
Organization
Location Address
6923 168TH ST FRESH MEADOWS, NY 11365
Location Phone
(718) 755-0656
Mailing Address
95-20 63 RD ROAD SUITE H REGO PARK, NY 11374
Mailing Phone
(347) 813-4143
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2012
Last Update Date
11-29-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Group Psychotherapy

Taxonomy Code
103TP2701X
Type
Behavioral Health & Social Service Providers
License No.
185185
License State
NY
Taxonomy Description
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. YELENA MAMEDOVA BRAZ MD

Authorized Official Title
MD
Authorized Official Phone
(718) 755-0656

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01274024MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437494648
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246789868
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 8 + 9 + 8 + 6 + 8 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 88

The NPI number 1437494648 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669712899 SVETLANA PINKHASOVA SLP M.A CCC
Individual
Speech-Language Pathologist6923 168TH ST
FRESH MEADOWS, NY 11365
(718) 288-5066
1942672225CLAUDIA IORDACHE MD PSYCHIATRY PC
Organization
Psychologist (Group Psychotherapy)6923 168TH ST
FRESH MEADOWS, NY 11365
(347) 730-4606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437494648, enumerated in the NPI registry as an "organization" on November 29, 2012

The provider is located at 6923 168th St Fresh Meadows, Ny 11365 and the phone number is (718) 755-0656

This medical organization specializes in Psychologist with taxonomy code 103TP2701X with a focus in Group Psychotherapy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 29, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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