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NPI Code Detail

MEDICARE: ADVANCED CENTER FOR PSYCHOTHERAPY, INC.

MEDICARE: ADVANCED CENTER FOR PSYCHOTHERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346261666
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CENTER FOR PSYCHOTHERAPY, INC.
Provider Business Mailing Address
First Line : 80 MARCUS DR
Second Line : PROVIDER ENROLLMENT
City : MELVILLE
State : NY
Zip : 11747-4230
Country : US
Telephone Number : 631-391-7889
Fax Number : 631-391-8389
Provider Business Practice Location Address
First Line : 10326 68TH RD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3200
Country : US
Telephone Number : 718-261-3330
Fax Number : 718-897-0095
Authorized Official
Title or Position : CFO
Name : MOUNIR DOSS
Credential :
Telephone Number : 718-206-6291
Provider Enumeration Date : 07/21/2006
Last Update Date : 03/19/2026

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