| Mona W. Birk, Phd, Llc | |
|
32 Hopkinson Ct Basking Ridge NJ 07920-2982 | |
| (908) 306-0774 | |
| (908) 306-0607 |
| Full Name | Mona W. Birk, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 32 Hopkinson Ct, Basking Ridge, New Jersey |
| Authorized Official Name and Position | Mona Birk (PRESIDENT) |
| Authorized Official Contact | 9083073768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mona W. Birk, Phd, Llc 32 Hopkinson Ct Basking Ridge NJ 07920-2982 Ph: (908) 306-0774 | Mona W. Birk, Phd, Llc 32 Hopkinson Ct Basking Ridge NJ 07920-2982 Ph: (908) 306-0774 |
| NPI Number | 1790199537 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 07/11/2017 |
| Medicare PECOS PAC ID | 2365766441 |
|---|---|
| Medicare Enrollment ID | O20150120001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790199537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 364S00000X | Clinical Nurse Specialist | 26NC04510500 (New Jersey) | Secondary |
| Provider Name | Mona W Birk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518032192 PECOS PAC ID: 3375436355 Enrollment ID: I20040204000263 |
| Provider Name | Mona W Birk |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518032192 PECOS PAC ID: 3375436355 Enrollment ID: I20040407000167 |
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