| Alchemy Psychotherapy, Llc | |
|
1164 Raritan Ave Highland Park NJ 08904-3653 | |
| (720) 663-0103 | |
| Not Available |
| Full Name | Alchemy Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1164 Raritan Ave, Highland Park, New Jersey |
| Authorized Official Name and Position | Shayan Salar (OWNER AND PSYCHOTHERAPIST) |
| Authorized Official Contact | 7206630103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alchemy Psychotherapy, Llc 1164 Raritan Ave Highland Park NJ 08904-3653 Ph: () - | Alchemy Psychotherapy, Llc 1164 Raritan Ave Highland Park NJ 08904-3653 Ph: (720) 663-0103 |
| NPI Number | 1003444878 |
|---|---|
| Provider Enumeration Date | 03/29/2020 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Medicare PECOS PAC ID | 5597194910 |
|---|---|
| Medicare Enrollment ID | O20200407001127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003444878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shayan Salar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154818128 PECOS PAC ID: 1850720277 Enrollment ID: I20200407001262 |
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