| Haven Psychotherapy Llc | |
|
25 Terrell Rd Lambertville NJ 08530-3428 | |
| (732) 910-8822 | |
| Not Available |
| Full Name | Haven Psychotherapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 25 Terrell Rd, Lambertville, New Jersey |
| Authorized Official Name and Position | Jouhaina Razzouk (OWNER) |
| Authorized Official Contact | 7329108822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Psychotherapy Llc 25 Terrell Rd Lambertville NJ 08530-3428 Ph: (732) 910-8822 | Haven Psychotherapy Llc 25 Terrell Rd Lambertville NJ 08530-3428 Ph: (732) 910-8822 |
| NPI Number | 1871117499 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Medicare PECOS PAC ID | 8820497936 |
|---|---|
| Medicare Enrollment ID | O20210521001679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871117499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jouhaina Razzouk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336487586 PECOS PAC ID: 8224282637 Enrollment ID: I20130213000178 |
| Provider Name | Rana M Degil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629170717 PECOS PAC ID: 3971883059 Enrollment ID: I20161207000393 |
| Provider Name | Vincent Basile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477953883 PECOS PAC ID: 9931421716 Enrollment ID: I20170503000736 |
| Provider Name | Jennifer Kehoe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235619313 PECOS PAC ID: 1355691692 Enrollment ID: I20180906001469 |
| Provider Name | Iva Y Kirzhner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033882139 PECOS PAC ID: 7911301114 Enrollment ID: I20210810003755 |
Marillac Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 N Union St Ste 114, Lambertville, NJ 08530 Phone: 908-280-1957 Fax: 908-291-1212 |