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FOREST HILLS PSYCHIATRIC PC NPI 1437218674


NPI Information

NPI: 1437218674
Provider Name: FOREST HILLS PSYCHIATRIC PC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
76-03 113TH ST
FOREST HILLS, NY
ZIP 11375
Phone: (718) 268-1100
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FOREST HILLS PSYCHIATRIC PC is a clinical social worker in Forest Hills, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. FOREST HILLS PSYCHIATRIC PC NPI is 1437218674. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

76-03 113TH ST
FOREST HILLS, NY
ZIP 11375-585
Phone: (718) 268-1100
Fax: (718) 268-6418

The provider's authorized official is Shama Rasool .
The authorized official title is Psychiatrist and has the following contact phone number (718) 268-1100.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 5/7/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry159418NEW YORKNo
2103TC2200XPsychologistClinical Child & Adolescent016036NEW YORKNo
31041C0700XSocial WorkerClinicalR056338NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106401MEDICARE PINNEW YORK
2E42028MEDICARE UPINNEW YORK
306401IMEDICARE ID-TYPE UNSPECIFIEDNEW YORKDR POTHEN INDIV
4016036OTHERNEW YORKDR MINI POTHEN LICENSE#
5159418OTHERNEW YORKDR. RASOOL LICENSE#
600929204MEDICAIDNEW 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: 4/28/2024

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