| Innovative Psychiatry Llc | |
|
157 Tennyson Dr Plainsboro NJ 08536-3033 | |
| (732) 713-6280 | |
| (866) 892-0650 |
| Full Name | Innovative Psychiatry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 157 Tennyson Dr, Plainsboro, New Jersey |
| Authorized Official Name and Position | Lavanya Kamineni (PROVIDER) |
| Authorized Official Contact | 7327136280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychiatry Llc 157 Tennyson Dr Plainsboro NJ 08536-3033 Ph: (732) 713-6280 | Innovative Psychiatry Llc 157 Tennyson Dr Plainsboro NJ 08536-3033 Ph: (732) 713-6280 |
| NPI Number | 1841049707 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Medicare PECOS PAC ID | 1658814272 |
|---|---|
| Medicare Enrollment ID | O20240624001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841049707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lavanya Kamineni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281179 PECOS PAC ID: 7113224825 Enrollment ID: I20160323002395 |
Kenneth G Hoyne, Phd And Leslie Richmand, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Drayton Ln, Plainsboro, NJ 08536 Phone: 609-731-1200 Fax: 609-799-0776 | |
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