Psych Unit | |
1 Bay Ave Montclair NJ 07042-4837 | |
(973) 429-6451 | |
Not Available |
Full Name | Psych Unit |
---|---|
Speciality | Psychiatric Unit |
Location | 1 Bay Ave, Montclair, New Jersey |
Authorized Official Name and Position | Joe Johnson (VICE PRESIDENT) |
Authorized Official Contact | 8664659222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psych Unit 1 Bay Ave Montclair NJ 07042-4837 Ph: (973) 429-6000 | Psych Unit 1 Bay Ave Montclair NJ 07042-4837 Ph: (973) 429-6451 |
NPI Number | 1841444718 |
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Provider Enumeration Date | 11/05/2008 |
Last Update Date | 06/11/2013 |
Medicare PECOS PAC ID | 7810092814 |
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Medicare Enrollment ID | O20210525002424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841444718 | NPI | - | NPPES |
0135038 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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