| Clearmind Psychiatry Llc | |
|
1755 N Brown Rd Ste 200 Lawrenceville GA 30043-8196 | |
| (732) 516-8021 | |
| Not Available |
| Full Name | Clearmind Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1755 N Brown Rd Ste 200, Lawrenceville, Georgia |
| Authorized Official Name and Position | Farhana Kaderin (PSYCHIATRIST) |
| Authorized Official Contact | 7325168021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearmind Psychiatry Llc 1755 N Brown Rd Ste 200 Lawrenceville GA 30043-8196 Ph: (732) 516-8021 | Clearmind Psychiatry Llc 1755 N Brown Rd Ste 200 Lawrenceville GA 30043-8196 Ph: (732) 516-8021 |
| NPI Number | 1013492891 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 05/24/2019 |
| Medicare PECOS PAC ID | 8628311578 |
|---|---|
| Medicare Enrollment ID | O20190517000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013492891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Farhana Kaderin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831531227 PECOS PAC ID: 2466747209 Enrollment ID: I20160818001360 |
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