Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adolfo Santisima Diaz-Toro, MACMHC, CASACT

Individual provider Mental Health Counselor · NPI 1134751514

Adolfo Santisima Diaz-Toro, MACMHC, CASACT is a Mental Health Counselor in Long Island City, New York. Qualified in 2021, 5 years ago. Practices with Realization Center Inc, an 11-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
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Practice location Address checks out

4404 Queens Blvd
Long Island City, NY 11104-2406
Phone: (718) 706-1663
Fax: (718) 672-2127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1622 Central Ave, Far Rockaway, NY 11691-4002 — (718) 327-9001

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1134751514
Entity typeIndividual (Type 1)
GenderMale
Credentials MACMHC , CASACT
Sole proprietorYes
NPI enumeratedFebruary 4, 2020
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Realization Center Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Long Island City