| Child, Adolescent And Adult Psychiatric Care Llc | |
|
42 N Grant Ave Colonia NJ 07067-2208 | |
| (848) 999-9756 | |
| Not Available |
| Full Name | Child, Adolescent And Adult Psychiatric Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 42 N Grant Ave, Colonia, New Jersey |
| Authorized Official Name and Position | Syed Jawad Tirmazi (SOLE OWNER PROVIDER) |
| Authorized Official Contact | 8489999756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child, Adolescent And Adult Psychiatric Care Llc 42 N Grant Ave Colonia NJ 07067-2208 Ph: (848) 999-9756 | Child, Adolescent And Adult Psychiatric Care Llc 42 N Grant Ave Colonia NJ 07067-2208 Ph: (848) 999-9756 |
| NPI Number | 1376393587 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 8729428503 |
|---|---|
| Medicare Enrollment ID | O20240426000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376393587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Syed Tirmazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073656419 PECOS PAC ID: 5597919589 Enrollment ID: I20130128000398 |
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