| Community Psychiatric Institute | |
|
67 Sanford St East Orange NJ 07018-1926 | |
| (973) 673-3342 | |
| (973) 673-5612 |
| Full Name | Community Psychiatric Institute |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 67 Sanford St, East Orange, New Jersey |
| Authorized Official Name and Position | Alan N. Furst (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9736733342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Psychiatric Institute 67 Sanford St East Orange NJ 07018-1926 Ph: (973) 673-3342 | Community Psychiatric Institute 67 Sanford St East Orange NJ 07018-1926 Ph: (973) 673-3342 |
| NPI Number | 1811053101 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 0345305249 |
|---|---|
| Medicare Enrollment ID | O20090211000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811053101 | NPI | - | NPPES |
| 0016004 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 07181-01-05 (New Jersey) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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