| Qualpsych Corp. | |
|
5 Pascack Rd Woodcliff Lk NJ 07677-8317 | |
| (914) 424-5702 | |
| (201) 343-4391 |
| Full Name | Qualpsych Corp. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5 Pascack Rd, Woodcliff Lk, New Jersey |
| Authorized Official Name and Position | Joseph Siragusa (OWNER / PROVIDER) |
| Authorized Official Contact | 9144245702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qualpsych Corp. 5 Pascack Rd Woodcliff Lk NJ 07677-8317 Ph: (914) 424-5702 | Qualpsych Corp. 5 Pascack Rd Woodcliff Lk NJ 07677-8317 Ph: (914) 424-5702 |
| NPI Number | 1427606557 |
|---|---|
| Provider Enumeration Date | 09/02/2019 |
| Last Update Date | 06/02/2020 |
| Certification Date | 06/02/2020 |
| Medicare PECOS PAC ID | 2163859083 |
|---|---|
| Medicare Enrollment ID | O20200305000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427606557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Joseph Siragusa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376957761 PECOS PAC ID: 6709154263 Enrollment ID: I20170807002946 |
| Provider Name | Melissa Siragusa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609497080 PECOS PAC ID: 7315374238 Enrollment ID: I20231120003117 |