| Baker Street Mind Health, Llc | |
|
12 Madison Ave Ste 306 Paramus NJ 07652-2705 | |
| (201) 381-6136 | |
| (201) 660-8271 |
| Full Name | Baker Street Mind Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12 Madison Ave Ste 306, Paramus, New Jersey |
| Authorized Official Name and Position | Joseph Galasso (PRESIDENT) |
| Authorized Official Contact | 2013816136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Street Mind Health, Llc 851 Franklin Lake Rd Ste 204 Franklin Lakes NJ 07417-2267 Ph: (201) 381-6136 | Baker Street Mind Health, Llc 12 Madison Ave Ste 306 Paramus NJ 07652-2705 Ph: (201) 381-6136 |
| NPI Number | 1083488134 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083488134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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