| Cognitive And Behavioral Health Llc | |
|
142 Palisade Ave Jersey City NJ 07306-1133 | |
| (856) 278-4807 | |
| Not Available |
| Full Name | Cognitive And Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 142 Palisade Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Melissa Burnett (BILLER) |
| Authorized Official Contact | 8562784807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive And Behavioral Health Llc 142 Palisade Ave Jersey City NJ 07306-1133 Ph: () - | Cognitive And Behavioral Health Llc 142 Palisade Ave Jersey City NJ 07306-1133 Ph: (856) 278-4807 |
| NPI Number | 1245766302 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 6103188776 |
|---|---|
| Medicare Enrollment ID | O20180319001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245766302 | NPI | - | NPPES |
| 1396056065 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 25M09550500 (New Jersey) | Primary |
| Provider Name | Imran A Jamil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396056065 PECOS PAC ID: 9436379955 Enrollment ID: I20160128001110 |
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