| Fairlawn Behavioral Associates Llc | |
|
15-01 Broadway Suite# 10b Fair Lawn NJ 07410-6003 | |
| (201) 342-4004 | |
| (201) 342-4008 |
| Full Name | Fairlawn Behavioral Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 15-01 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Mohsan Jan (ADMINISTARTOR) |
| Authorized Official Contact | 2012898455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairlawn Behavioral Associates Llc Po Box 809 Teaneck NJ 07666-0809 Ph: (201) 342-4004 | Fairlawn Behavioral Associates Llc 15-01 Broadway Suite# 10b Fair Lawn NJ 07410-6003 Ph: (201) 342-4004 |
| NPI Number | 1861876419 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Medicare PECOS PAC ID | 9638485329 |
|---|---|
| Medicare Enrollment ID | O20150825005651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861876419 | NPI | - | NPPES |
| 7492201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 25MA6506500 (New Jersey) | Primary |
| Provider Name | Syed A Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982675476 PECOS PAC ID: 5991617458 Enrollment ID: I20031104000344 |
| Provider Name | Linda Logang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730469081 PECOS PAC ID: 0749451383 Enrollment ID: I20110912000588 |
| Provider Name | Vida Sarkodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124414354 PECOS PAC ID: 5991025884 Enrollment ID: I20150515001428 |
| Provider Name | Steven Khanjia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063564094 PECOS PAC ID: 6305155151 Enrollment ID: I20151019002212 |
| Provider Name | Kathleen Danaher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922124791 PECOS PAC ID: 8628387826 Enrollment ID: I20151028001510 |
| Provider Name | Fiorella Paradisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033384631 PECOS PAC ID: 0446544902 Enrollment ID: I20160805000192 |
| Provider Name | Jennifer E Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801219498 PECOS PAC ID: 6608112206 Enrollment ID: I20190117002066 |
| Provider Name | Farkhanda Farooqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295226322 PECOS PAC ID: 4082831557 Enrollment ID: I20190228002252 |
| Provider Name | Choomia Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559638 PECOS PAC ID: 1759789340 Enrollment ID: I20211012003033 |
| Provider Name | Muhiba Begum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821716994 PECOS PAC ID: 5890169213 Enrollment ID: I20230324001612 |
| Provider Name | Walter Nolan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871926329 PECOS PAC ID: 2567825128 Enrollment ID: I20240118000652 |
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Mh At Fair Lawn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16-01 Broadway, Fair Lawn, NJ 07410 Phone: 201-797-0001 | |
Ketamine Care Mental Health Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8-02 Plymouth Dr, Fair Lawn, NJ 07410 Phone: 718-687-7924 | |
Mhs Mental Healthcare Associates Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14-25 Plaza Rd Ste S22, Fair Lawn, NJ 07410 Phone: 201-873-8583 | |
Fair Lawn Behavioral Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12-15 Broadway, Fair Lawn, NJ 07410 Phone: 404-451-2334 Fax: 201-837-2027 |