| Chatham Psychiatric Group, P.a. | |
|
9 Tulip St Summit NJ 07901-2404 | |
| (908) 277-7676 | |
| (908) 277-4900 |
| Full Name | Chatham Psychiatric Group, P.a. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9 Tulip St, Summit, New Jersey |
| Authorized Official Name and Position | Arie Johan Noordsij (PRESIDENT) |
| Authorized Official Contact | 9082777676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chatham Psychiatric Group, P.a. 9 Tulip St Summit NJ 07901-2404 Ph: (908) 277-7676 | Chatham Psychiatric Group, P.a. 9 Tulip St Summit NJ 07901-2404 Ph: (908) 277-7676 |
| NPI Number | 1780726638 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780726638 | NPI | - | NPPES |
| 3876004 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 25MA1777900 (New Jersey) | Primary |
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